Healthcare Provider Details

I. General information

NPI: 1912080342
Provider Name (Legal Business Name): THOMAS SHELDON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2006
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST
CONCORD NH
03301-7539
US

IV. Provider business mailing address

291 MOODY ST PER SE
LUDLOW MA
01056-1246
US

V. Phone/Fax

Practice location:
  • Phone: 603-230-6100
  • Fax: 603-230-6105
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number7290
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number7290
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: