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NPI Code Detail

MEDICARE: DANIEL W THURM OD

MEDICARE: DANIEL W THURM OD
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
1152W00000XOptometrist3021MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2154615OTHERMATUFTS
3W15803OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1336237676
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL W THURM OD
Provider Business Mailing Address
First Line : 89 SHARON ST
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-2011
Country : US
Telephone Number : 781-344-3331
Fax Number : 781-344-4717
Provider Business Practice Location Address
First Line : 89 SHARON ST
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-2011
Country : US
Telephone Number : 781-344-3331
Fax Number : 781-344-4717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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