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Individual

DR. IAN JAMES THORNLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MB BS

Contact information

Practice address
57 HIGHLAND AVE, NORTH SHORE CHILDRENS HOSPITAL PEDIATRIC EMERGENCY ROOM, SALEM, MA 01970
(978) 354-2750
Mailing address
27 CAMDEN ROAD, AUBURNDALE, MA 02466
(617) 244-5248
(617) 244-5248

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
215122
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0175587
MA
Enumeration date
08/04/2006
Last updated
07/08/2007
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