Organization
MORTON SURGICAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES A THAYER M.D. (PRESIDENT)
(508) 824-4535
Entity
Organization
Contact information
Practice address
72 WASHINGTON ST, SUITE 2700, TAUNTON, MA 02780-2491
(508) 824-4535
(508) 880-7515
Mailing address
72 WASHINGTON ST, SUITE 2700, TAUNTON, MA 02780-2491
(508) 824-4535
(508) 880-7515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
607281
TUFTS
MA
01
—
80278
AETNA
MA
05
—
9764062
—
MA
01
—
M15245
BLUE SHIELD
MA
Enumeration date
04/06/2007
Last updated
01/29/2018
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