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NPI Code Detail

MEDICARE: THOMAS EDWARD JAVERY M.D.

MEDICARE: THOMAS EDWARD JAVERY 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician220960MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2412043OTHERMATUFTS HEALTH PLAN
3J27629OTHERMABLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1245265701
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS EDWARD JAVERY M.D.
Provider Business Mailing Address
First Line : 5 S GROVE ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7517
Country : US
Telephone Number : 978-374-0760
Fax Number : 978-374-0760
Provider Business Practice Location Address
First Line : 35 CONGRESS ST
Second Line :
City : SALEM
State : MA
Zip : 01970-5529
Country : US
Telephone Number : 678-825-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 07/08/2007

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Directions to “ THOMAS EDWARD JAVERY M.D.” Practice Location

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