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Individual

DR. THOMAS WILDER STINSON III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 W CUMMINGS PARK, STE 1825, WOBURN, MA 01801-6519
(781) 820-9732
(781) 989-9396
Mailing address
400 W CUMMINGS PARK, SUITE 1825, WOBURN, MA 01801-6519
(781) 820-9732
(781) 989-9396

Taxonomy

Speciality
Code
Description
License number
State
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
39897
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
39897
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
039897
TUFTS ASSOC. HEALTH PLANS
MA
01
050031023
RAILROAD MEDICARE-GBA PAL
05
30201011
NH
05
6184456
MA
01
992959
NETWORK HEALTH
MA
01
AA17224
HARVARD PILGRIM HEALTH
MA
01
J03510
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
01/31/2006
Last updated
03/02/2012
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