Individual
THOMAS P PAPPAVASELIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843-1740
(978) 688-6185
(978) 689-0731
Mailing address
360 MERRIMACK ST, BLDG 9, ENTRANCE I, LAWRENCE, MA 01843-1740
(978) 688-6182
(978) 689-0731
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
50238
MA
207W00000X
Ophthalmology Physician
9113
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110056804A
—
MA
05
—
3091267
—
NH
Enumeration date
12/05/2005
Last updated
08/12/2016
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