MEDICARE: DR. THOMAS JAMES MULROY 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	207QS0010X	Sports Medicine (Family Medicine) Physician	271685	MA

General Provider Information

NPI Number	:	1841511144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THOMAS JAMES MULROY M.D.

Provider Business Mailing Address
First Line	:	48 DUNHAM RIDGE RD
Second Line	:	SUITE 4350
City	:	BEVERLY
State	:	MA
Zip	:	01915
Country	:	US
Telephone Number	:	978-867-0544
Fax Number	:	978-867-0543

Provider Business Practice Location Address
First Line	:	48 DUNHAM RIDGE RD
Second Line	:	SUITE 4350
City	:	BEVERLY
State	:	MA
Zip	:	01915
Country	:	US
Telephone Number	:	978-867-0544
Fax Number	:	978-867-0543

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

Provider Enumeration Date	:	06/21/2010
Last Update Date	:	02/19/2026

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