Individual
THOMAS D. MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1269 MEMORIAL DR., CHICOPEE, MA 01020
(413) 612-0048
(413) 612-0031
Mailing address
52 WHITMUN RD, LONGMEADOW, MA 01106-2652
(413) 612-0031
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
256
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15988918552
—
MA
Enumeration date
09/30/2013
Last updated
09/30/2013
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