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Individual

DR. THOMAS O MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000
Mailing address
3040 AMSDELL RD, HAMBURG, NY 14075-5835
(716) 649-9000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
255498
NY
2085R0202X
Diagnostic Radiology Physician
35 051576
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03188745
NY
01
P00793676
RAILROAD MEDICARE
NY
Enumeration date
09/14/2006
Last updated
03/29/2010
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