Individual
THOMAS PEPONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 BELMONT ST, WORCESTER, MA 01605-2657
(508) 334-8195
(508) 334-8130
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
271242
MA
208C00000X
Colon & Rectal Surgery Physician
Primary
1015489
MA
208C00000X
Colon & Rectal Surgery Physician
70847
MN
Other
Enumeration date
06/20/2017
Last updated
08/04/2023
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