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Individual

DR. THOMAS J VANDERSALM

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-2500
(978) 354-2494
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
34584
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
34584
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
034584
TUFTS HEALTH PLAN
MA
05
2035324
MA
01
M08365
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
09/11/2025
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