Individual
JANCY THOMAS
Active
Individual
JANCY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
224036
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204685284
UHC
—
05
—
2103711
—
MA
01
—
491418
TUFTS
—
01
—
5083007
AETNA
—
01
—
93402
FALLON
—
01
—
AA97527
HPHC
—
01
—
J29038
BCBS
—
Enumeration date
11/28/2005
Last updated
11/04/2020
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