MEDICARE: THOMAS STEPHEN PEARCE 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
1	207Q00000X	Family Medicine Physician	56285	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	714372	OTHER	MA	TUFTS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	70915	OTHER	MA	PILGRIM
4	J05577	OTHER	MA	BLUE

General Provider Information

NPI Number	:	1053306589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS STEPHEN PEARCE M.D.

Provider Business Mailing Address
First Line	:	279 E MAIN ST
Second Line	:
City	:	GLOUCESTER
State	:	MA
Zip	:	01930-4141
Country	:	US
Telephone Number	:	978-282-4600
Fax Number	:

Provider Business Practice Location Address
First Line	:	279 E MAIN ST
Second Line	:
City	:	GLOUCESTER
State	:	MA
Zip	:	01930-4141
Country	:	US
Telephone Number	:	978-282-4600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	12/01/2009

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