Individual
THOMAS DAG HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(176) 658-9300
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
(176) 586-9300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-1269
AR
207ND0900X
Dermatopathology Physician
E-1269
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131654001
—
AR
Enumeration date
10/09/2006
Last updated
09/16/2019
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