Individual
PHILIP A THOMASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 HERRICK ST, RADIOLOGY DEPARTMENT, BEVERLY, MA 01915-1776
(978) 927-6385
(978) 921-7011
Mailing address
2527 CRANBERRY HIGHWAY, ATTN: PROVIDER RELATIONS DEPT., WAREHAM, MA 02571-1046
(800) 841-5200
(508) 273-1241
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
052555
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6182577
—
MA
Enumeration date
05/24/2006
Last updated
07/23/2012
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