Individual
THOMAS D DIVINAGRACIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 328-4030
(617) 376-5683
Mailing address
27 RIVERSIDE DR, NORWELL, MA 02061-2226
(781) 826-6872
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33545
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153621
—
MA
Enumeration date
04/28/2006
Last updated
07/08/2007
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