Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 210442 | MA |
NPI | 1063419398 |
---|---|
Provider Name | Dr. Thomas Caughey |
First Address | Cambridge, MA 02138 |
Second Address | Cambridge, MA 02138 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 07/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0151190 | (05) | MA |
H49699 | (02) | MA |