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Neelam M. Thacker, M.d.
Medical Specialty Clinic/Center in Medford, Massachusetts
NPI 1942543764

Neelam M. Thacker, M.d. is a Medical Specialty Clinic/Center based in Medford, MA and is specialized in Medical Specialty. Neelam M. Thacker, M.d. practices in Medford, MA. The NPI Number for Neelam M. Thacker, M.d. is 1942543764 and holds a License No. (Massachusetts).

The current practice location address for Neelam M. Thacker, M.d. is 101 Main St, Medford, MA and can be reached out via phone at 781-396-8100 and via fax at 781-391-9929. You can also correspond with Neelam M. Thacker, M.d. through the mailing address at 101 MAIN ST, MEDFORD, MA - 02155-4540 (mailing address contact number: 781-396-8100).

Location: 101 Main St, Medford, MA, 02155-4540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942543764
Provider Name
Neelam M. Thacker, M.d.
Credential
Provider Entity Type
Organization
Address
101 Main St, Medford, MA, 02155-4540
Phone Number
781-396-8100
Fax Number
781-391-9929
Provider Enumeration Date
03/29/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790832822 01 MA TYPE 1 NPI #
institution
Provider Business Practice Location Address Details
Address
101 Main St
City
Medford
State
Massachusetts
Zip
02155-4540
Phone Number
781-396-8100
Fax Number
781-391-9929
person
Provider Business Mailing Address Details
Address
101 Main St
City
Medford
State
Massachusetts
Zip
02155-4540
Phone Number
781-396-8100
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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