Provider Demographics
NPI:1083648976
Name:CANTO, THOMAS R (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:R
Last Name:CANTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:280 CHESTNUT ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1619
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:WING MEMORIAL HOSPITAL
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01016-1138
Practice Address - Country:US
Practice Address - Phone:413-284-5400
Practice Address - Fax:413-284-5114
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74997208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
53019OtherFALLON COMMUNITY HEALTH
J23376OtherBLUE CROSS BLUE SHIELD
B21179301OtherCIGNA
074997OtherTUFTS COMMUNITY HEALTH PL
981105OtherNETWORK HEALTH
F83672Medicare UPIN
A32218Medicare ID - Type Unspecified
074997OtherCONNECTICARE
3547831OtherHEALTHSOURCE CMHC
MA0128180Medicaid
1702854OtherUNITED HEALTH CARE
020049043Medicare ID - Type UnspecifiedRAILROAD
80869OtherHARVARD PILGRIM