Individual
MR. THOMAS RICHARD SCANDURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
750 WASHINGTON ST, BOX 314, BOSTON, MA 02111-1526
(617) 636-5854
Mailing address
19 FREEDOM DR, NORTH READING, MA 01864-3227
(978) 664-2771
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
173518
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0327778
—
MA
Enumeration date
03/12/2007
Last updated
07/08/2007
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