Doctor Name: | MR. THOMAS MARK LEDOUX |
NPI Number: | 1255693115 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 1493 Cambridge St Cambridge Health Alliance - Cambridge Hospital Cambridge, MA - 021391047 |
Business Phone Number: | 6166651185 |
Business Fax Number: | |
Mailing Address: | Po Box 230, THORNTON |
State: | NH |
Postal Code: | 032230230 |
Phone Number: | 6037265145 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |