Individual
THOMAS T. STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 ROSEBROOK WAY, 3RD FLOOR, WAREHAM, MA 02571-1138
(508) 273-4900
(508) 273-4901
Mailing address
200 MILL RD, STE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
76500
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110051817A
—
MA
Enumeration date
12/01/2006
Last updated
04/27/2020
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