Tarquinio, Thom A.

Tarquinio, Thom A. is an individual health care provider with primary practice located at 123 Summer St Suite 320, Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Foot and Ankle Surgery, which is considered as his primary health care specialty. Tarquinio, Thom A. can be contacted via phone (508) 368-3140.

Contact Information

Primary practice address
123 Summer St Suite 320 Worcester MA 01608-1216
Phone: (508) 368-3140
Fax: (508) 368-3143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 15008 Mississippi
Allopathic & Osteopathic Physicians / Foot and Ankle Surgery 207XX0004X 49422 Massachusetts

Profile Details

NPI number 1265434229
LBN Legal business name Tarquinio, Thom A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Jul 23rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265434229 NPPES
Mississippi Other 512G700003 UP MEDICARE
Mississippi Other 512I200010 UP MEDICARE
Mississippi MEDICAID 117289 UP MEDICARE
Mississippi Other 200025582 UP MEDICARE
Mississippi Other 200000249 UP MEDICARE
Mississippi Other P00462327 UP MEDICARE

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