Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41323 | MA |
N | 111NI0900X | Internist | 41323 | MA |
Y | 207RH0000X | Hematologist | 41323 | MA |
N | 207RX0202X | Medical Oncology | 41323 | MA |
NPI | 1477543783 |
---|---|
Provider Name | Dr. Thomas Richard Spitzer |
First Address | Charlestown, MA 02129-9142 |
Second Address | Boston, MA 02114-2621 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2005 |
Last Update Date | 22/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
041323 | TUFTS HEALTH PLAN (01) | MA |
2056054 | (05) | MA |
B95443 | (02) | |
E03012 | BCBS MA (01) | MA |