Healthcare Provider Details
I. General information
NPI: 1497295588
Provider Name (Legal Business Name): TOMAS APPLETON FIGUEIRA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/08/2017
Last Update Date: 02/07/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
55 LAKE AVE N
WORCESTER MA
01655-0002
US
IV. Provider business mailing address
PO BOX 415348
BOSTON MA
02241-5348
US
V. Phone/Fax
- Phone: 508-334-3850
- Fax:
- Phone: 800-225-8885
- Fax: 508-334-1977
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | 298767 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 298767 |
| License Number State | NY |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | 1013335 |
| License Number State | MA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: