Individual
THEVERTHUNDIYIL K THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MARJORIE ST, WARE, MA 01082-1711
(413) 967-2800
(413) 967-2806
Mailing address
280 CHESTNUT ST, 2ND FL, SPRINGFIELD, MA 01199-1619
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35816
MA
207RG0100X
Gastroenterology Physician
Primary
35816
MA
Other
Enumeration date
01/26/2006
Last updated
03/09/2012
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