Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 161282 | MA |
NPI | 1093893299 |
---|---|
Provider Name | Dr. Melissa Kay Thomas |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0111708 | (05) | MA |
750238 | TUFTS HEALTH PLAN (01) | MA |
H21690 | (02) | |
J21892 | BCBS MA (01) | MA |