Individual
THOMAS P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BLACKBURN DR, GLOUCESTER, MA 01930-2237
(978) 281-1500
(978) 282-3699
Mailing address
1 BLACKBURN DR, GLOUCESTER, MA 01930-2237
(978) 281-1500
(978) 282-3699
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
35482
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015404
—
MA
Enumeration date
05/17/2006
Last updated
06/28/2010
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