Individual
DR. THOMAS GEORGE LAREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
133 ORNAC, CONCORD, MA 01742-4159
(978) 287-3690
Mailing address
27 VALE RD, WAKEFIELD, MA 01880-4333
(781) 621-8346
(561) 892-8501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
159091
MA
207Q00000X
Family Medicine Physician
34658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041458100
—
FL
05
—
3194531
—
MA
01
—
J21000
BLUE SHEILD
MA
Enumeration date
10/03/2005
Last updated
05/05/2008
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