Provider Demographics
NPI:1326073610
Name:CONLEY, THOMAS G (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:CONLEY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9 INDUSTRIAL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3588
Mailing Address - Country:US
Mailing Address - Phone:508-473-1480
Mailing Address - Fax:508-473-1210
Practice Address - Street 1:1280 WEST CENTRAL STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038
Practice Address - Country:US
Practice Address - Phone:508-541-2199
Practice Address - Fax:508-541-6072
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2019-04-11
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Provider Licenses
StateLicense IDTaxonomies
MA81854207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3146804Medicaid
COA20758Medicare ID - Type Unspecified
G16217Medicare UPIN