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NPI Code Detail

MEDICARE: DR. THOMAS CADE RAGGIO M.D.

MEDICARE: DR. THOMAS CADE RAGGIO 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
12085R0202XDiagnostic Radiology Physician0101254710VA
22085R0204XVascular & Interventional Radiology Physician0101254710VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073789749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS CADE RAGGIO M.D.
Provider Business Mailing Address
First Line : PO BOX 415694
Second Line :
City : BOSTON
State : MA
Zip : 02241-5694
Country : US
Telephone Number : 610-644-8900
Fax Number : 610-644-8909
Provider Business Practice Location Address
First Line : 1005 N GLEBE RD STE 230
Second Line :
City : ARLINGTON
State : VA
Zip : 22201-5792
Country : US
Telephone Number : 571-500-8451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2008
Last Update Date : 07/27/2023

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