Individual
THOM A. TARQUINIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 SUMMER ST, SUITE 320, WORCESTER, MA 01608-1216
(508) 368-3140
(508) 368-3143
Mailing address
630 PLANTATION ST, WOT 12TH FL, WORCESTER, MA 01605-2038
(508) 368-5532
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
15008
MS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
49422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117289
—
MS
01
—
200000249
MEDICARE ID NOVARTIS SOLUTIONS
MS
01
—
200025582
RAILROAD MEDICARE
MS
01
—
512G700003
UP MEDICARE
MS
01
—
512I200010
UP MEDICARE PTAN
MS
01
—
P00462327
RAILROAD MEDICARE PTAN
MS
Enumeration date
06/02/2005
Last updated
07/23/2013
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