MEDICARE: PILGRIM MEDICAL ASSOCIATES, P.C.

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	207LA0401X	Addiction Medicine (Anesthesiology) Physician	39897	MA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	39897	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	600252	OTHER	MA	TUFTS HEALTH PLANS INC
2	M14048	OTHER	MA	BLUE CROSS & BLUE SHIELD
3	0012330	OTHER	MA	NEIGHBORHOOD HEALTH
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518938190
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILGRIM MEDICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 1825
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-820-9732
Fax Number	:	781-989-9396

Provider Business Practice Location Address
First Line	:	400 W CUMMINGS PARK
Second Line	:	SUITE 1825
City	:	WOBURN
State	:	MA
Zip	:	01801-6519
Country	:	US
Telephone Number	:	781-820-9732
Fax Number	:	781-989-9396

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. THOMAS WILDER STINSON III
Credential	:	M.D.
Telephone Number	:	781-396-1002

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	03/02/2012

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Directions to “PILGRIM MEDICAL ASSOCIATES, P.C. ” Practice Location

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