Individual
THOMAS J CONDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606
(508) 856-9599
(508) 854-4997
Mailing address
630 PLANTATION ST, WOT 12TH FLOOR ATTN PHYSICIAN SERVICES, WORCESTER, MA 01605
(508) 368-5529
(508) 368-5530
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
30422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0800301
EVERCARE
—
01
—
26726
HEALTHY START
—
01
—
3099725
WELFARE
—
05
—
3099725
—
MA
01
—
35481129
CIGNA HEALTH PLAN
—
01
—
5245190
AETNA US HEALTHCARE
—
01
—
784011
MVP HEALTH CARE
—
01
—
917608
FIRST HEALTH
—
01
—
9900030
FALLON COMMUNITY HEALTH
—
01
—
AA3296
HARVARD PILGRIM HEALTHCAR
—
01
—
N01518
BLUE SHIELD INDEMNITY
—
Enumeration date
05/03/2006
Last updated
07/08/2007
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