Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0300X | Periodontist | 16281 | MA |
NPI | 1144245531 |
---|---|
Provider Name | Dr. Thomas Patrick Byrnes |
First Address | Attleboro, MA 02703-1753 |
Second Address | Boston, MA 02130-4817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 08/07/2007 |