Terrence Adams Omalley
Internist Geriatric Medicine
70 Fulton St
Boston
, Massachusetts 02109-1402
Terrence Adams Omalley
Internist Geriatric Medicine
70 Fulton St
Boston
, Massachusetts 02109-1402
(617) 726-9754
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About
Features
Specialties
- Internist
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Terrence Adams Omalley
- 70 Fulton St
- Boston, MA
- Zip : 02109-1402
- Fax : (617) 726-9754
- Phone : (617) 724-4838
Second Address
- Terrence Adams Omalley
- 70 Fulton St
- Boston, MA
- Zip : 02109-1402
- Fax : (617) 726-9754
- Phone : (617) 724-4838
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 36969 | MA |
| Y | 111NI0900X | Internist | 36969 | MA |
| N | 207RG0300X | Geriatric Medicine | 36969 | MA |
National Provider Identifier
| NPI | 1083605612 |
|---|---|
| Provider Name | Terrence Adams Omalley |
| First Address | Boston, MA 02109-1402 |
| Second Address | Boston, MA 02109-1402 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 19/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036969 | TUFTS HEALTH PLAN (01) | MA |
| 2045214 | (05) | MA |
| B76422 | (02) | |
| M08833 | BCBS MA (01) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.