Provider Demographics
NPI:1265835128
Name:TWOMEY, MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:
Last Name:TWOMEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 OCEAN BLVD
Mailing Address - Street 2:19
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-1443
Mailing Address - Country:US
Mailing Address - Phone:603-929-0712
Mailing Address - Fax:
Practice Address - Street 1:943 OCEAN BLVD
Practice Address - Street 2:19
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842-1443
Practice Address - Country:US
Practice Address - Phone:603-929-0712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA31580261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical