Individual
DR. THOMAS NILAN BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN ST, WAC 835 NEUROLOGY ASSOCIATES, BOSTON, MA 02114-3117
(617) 724-0880
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
023978
CT
2084N0400X
Neurology Physician
Primary
223263
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097028
—
MA
01
—
470079
TUFTS HEALTH PLAN
MA
01
—
J28402
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
12/14/2012
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