Individual
DR. THOMAS RICHARD SPITZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, ZERO EMERSON PLACE SUITE 118, BOSTON, MA 02114-2621
(617) 724-1124
(617) 724-1126
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41323
MA
207RH0000X
Hematology (Internal Medicine) Physician
Primary
41323
MA
207RX0202X
Medical Oncology Physician
41323
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041323
TUFTS HEALTH PLAN
MA
05
—
2056054
—
MA
01
—
E03012
BCBS MA
MA
Enumeration date
10/27/2005
Last updated
09/22/2011
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