Provider Demographics
NPI:1093893299
Name:THOMAS, MELISSA KAY (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:KAY
Last Name:THOMAS
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Gender:F
Credentials:MD PHD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIANS ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:ZERO EMERSON PLACE
Practice Address - Street 2:NEUROENDOCRINE SUITE 112 EO112
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-7948
Practice Address - Fax:617-726-1241
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA161282207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ21892OtherBCBS MA
MA0111708Medicaid
MA750238OtherTUFTS HEALTH PLAN
MA0111708Medicaid
MA750238OtherTUFTS HEALTH PLAN