Samuel Thomas
NPI #1396592119 in Revere, Massachusetts
Provider Information
- NPI Number
- 1396592119
- Entity Type
- Individual
- Name
- Samuel Thomas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 339 SQUIRE RD STE 130-134
- City
- Revere
- State
- Massachusetts
- ZIP Code
- 02151-4396
- Phone
- (781) 629-4897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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