Individual
DR. THOMAS P. O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
80 WORCESTER ST, SUITE#2, NORTH GRAFTON, MA 01536-1041
(508) 839-0040
(508) 839-0043
Mailing address
80 WORCESTER ST, SUITE#2, NORTH GRAFTON, MA 01536-1041
(508) 839-0040
(508) 839-0043
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2556
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043579486
TAX IDENTIFICATION NUMBER
MA
01
—
2046485
FIRST HEALTH CCN
MA
01
—
351415
HARVARD PILGRIM HEALTHCAR
MA
01
—
7261412
AETNA
MA
01
—
Y36831
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/26/2007
Last updated
11/10/2010
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