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NPI Code Detail

MEDICARE: DR. THOMAS O MASON M.D.

MEDICARE: DR. THOMAS O MASON 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 Physician35 051576OH
22085R0202XDiagnostic Radiology Physician255498NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00793676OTHERNYRAILROAD MEDICARE

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 : 1548365257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS O MASON M.D.
Provider Business Mailing Address
First Line : 3040 AMSDELL RD
Second Line :
City : HAMBURG
State : NY
Zip : 14075-5835
Country : US
Telephone Number : 716-649-9000
Fax Number :
Provider Business Practice Location Address
First Line : 3040 AMSDELL RD
Second Line :
City : HAMBURG
State : NY
Zip : 14075-5835
Country : US
Telephone Number : 716-649-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 03/29/2010

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Directions to “ DR. THOMAS O MASON M.D.” Practice Location

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