MEDICARE: BEATRIX SYLVIE THOMAS MD

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	44853	MA

Other Identifiers

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

General Provider Information

NPI Number	:	1255329652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIX SYLVIE THOMAS MD

Provider Business Mailing Address
First Line	:	3 WOODLAND RD
Second Line	:	SUITE 119
City	:	STONEHAM
State	:	MA
Zip	:	02180-1702
Country	:	US
Telephone Number	:	781-665-7557
Fax Number	:	781-662-2957

Provider Business Practice Location Address
First Line	:	3 WOODLAND RD
Second Line	:	SUITE 119
City	:	STONEHAM
State	:	MA
Zip	:	02180-1702
Country	:	US
Telephone Number	:	781-665-7557
Fax Number	:	781-662-2957

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	05/24/2012

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