Healthcare Provider Details

I. General information

NPI: 1598860439
Provider Name (Legal Business Name): THOMAS CHARLES HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 DEACONESS RD DEPT OF RADIOLOGY
BOSTON MA
02215-5321
US

IV. Provider business mailing address

1 DEACONESS RD DEPT OF RADIOLOGY
BOSTON MA
02215-5321
US

V. Phone/Fax

Practice location:
  • Phone: 617-754-2615
  • Fax: 617-754-2545
Mailing address:
  • Phone: 617-754-2615
  • Fax: 617-754-2545

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207U00000X
TaxonomyNuclear Medicine Physician
License Number34385
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number34385
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: