Provider Demographics
NPI:1902997885
Name:THOMAS, AARON R (DO)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:THOMAS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:18 HIGHLAND AVE
Mailing Address - Street 2:NEWBURYPORT MEDICAL ASSOC INC
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950
Mailing Address - Country:US
Mailing Address - Phone:978-462-9571
Mailing Address - Fax:978-462-1459
Practice Address - Street 1:18 HIGHLAND AVE
Practice Address - Street 2:NEWBURYPORT MEDICAL ASSOC INC
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950
Practice Address - Country:US
Practice Address - Phone:978-462-9571
Practice Address - Fax:978-462-1459
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2010-06-10
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Provider Licenses
StateLicense IDTaxonomies
MA226794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2116049Medicaid
MA2116049Medicaid
MAI49888Medicare UPIN