Organization
READING FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS RUSSELL JEVON M.D. (OWNER PHYSICIAN)
(781) 942-0380
Entity
Organization
Contact information
Practice address
30 NEWCROSSING RD STE 301, READING, MA 01867-3254
(781) 942-0380
(781) 246-6725
Mailing address
30 NEWCROSSING RD STE 301, READING, MA 01867-3254
(781) 942-0380
(781) 246-6725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
058057
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104898022
INDIVIDUAL NPI
MA
Enumeration date
12/21/2006
Last updated
01/28/2010
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