Individual
DR. MARYKUTTY D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1400 VFW PARKWAY, SCI, BUILDING 2, 2ND FLOOR, WEST ROXBURY, MA 02132-4927
(857) 203-5128
(857) 203-5553
Mailing address
1400 VFW PARKWAY, SCI, BUILDING 2, 2ND FLOOR, WEST ROXBURY, MA 02132-4927
(857) 203-5128
(857) 203-5553
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21111
GA
Other
Enumeration date
07/19/2006
Last updated
04/18/2019
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