Doctor Name: | THOMAS E BIGELOW |
NPI Number: | 1003155813 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 3099 |
Business Practice Address: | 800 Washington St Box 450 Boston, MA - 021111552 |
Business Phone Number: | 6176365857 |
Business Fax Number: | 6176361264 |
Mailing Address: | 800 Washington St, Box 450 BOSTON |
State: | MA |
Postal Code: | 021111552 |
Phone Number: | 6176365857 |
Fax Number: | 6176361264 |
NPI Enumeration Date: | 02/14/2013 |
NPI Last Update Date: | 02/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 3099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |