Thea, Donald M.

Thea, Donald M. is an individual health care provider with primary practice located at 725 Albany St Shapiro 9, Suite B, Boston MA 02118-2526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Thea, Donald M. can be contacted via phone (617) 414-4290.

Contact Information

Primary practice address
725 Albany St Shapiro 9, Suite B Boston MA 02118-2526
Phone: (617) 414-4290
Fax: (617) 414-4285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 55151 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55151 Massachusetts

Profile Details

NPI number 1922096502
LBN Legal business name Thea, Donald M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2005
Last updated Jul 15th, 2014 - about 12 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 1922096502 NPPES
Massachusetts MEDICAID 110046773A

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