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NPI Code Detail

MEDICARE: DR. THOMAS E JAQUITH-HOUSTON M.D.

MEDICARE: DR. THOMAS E JAQUITH-HOUSTON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician235434MA

General Provider Information

NPI Number : 1013074681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS E JAQUITH-HOUSTON M.D.
Provider Business Mailing Address
First Line : 4 BROTHERTON WAY
Second Line :
City : AUBURN
State : MA
Zip : 01501-2684
Country : US
Telephone Number : 508-721-1199
Fax Number : 508-453-8019
Provider Business Practice Location Address
First Line : 4 BROTHERTON WAY
Second Line :
City : AUBURN
State : MA
Zip : 01501-2684
Country : US
Telephone Number : 508-721-1199
Fax Number : 508-453-8019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 12/08/2020

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Directions to “ DR. THOMAS E JAQUITH-HOUSTON M.D.” Practice Location

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