Provider Demographics
NPI:1770681066
Name:SBARRA, THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:SBARRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:90 TER HEUN DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2533
Mailing Address - Country:US
Mailing Address - Phone:508-540-0604
Mailing Address - Fax:508-457-0129
Practice Address - Street 1:90 TER HEUN DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2533
Practice Address - Country:US
Practice Address - Phone:508-540-0604
Practice Address - Fax:508-457-0129
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA39813207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA060058503OtherMEDICARE ID
MA2098679Medicaid
MA25-00642OtherUNITED HEALTHCARE
MA060058503OtherTRICARE
MA1770681066OtherGREAT WEST HEALTHCARE
MAC24029OtherBLUE CROSS BLUE SHIELD
MA2276072OtherAETNA
MA3006OtherHARVARD PILGRIM
MA0038769OtherNEIGHBORHOOD HEALTH PLAN
11089322OtherCAQH
MA1770681066OtherUNICARE
MAB20978201OtherCIGNA
HI0000279026OtherHMSA BILLING NUMBERS
MA71828OtherTUFTS
MA000000029654OtherBOSTON MEDICAL CENTER
MA1770681066OtherNETWORK HEALTH
HI623266-01Medicaid
MA1770681066OtherUNICARE
MA3006OtherHARVARD PILGRIM
HIAQ062ZMedicare PIN