Provider Demographics
NPI:1558556217
Name:DUMLAO, THEMY F JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THEMY
Middle Name:F
Last Name:DUMLAO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:70 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2427
Mailing Address - Country:US
Mailing Address - Phone:781-331-2000
Mailing Address - Fax:781-337-6104
Practice Address - Street 1:70 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2427
Practice Address - Country:US
Practice Address - Phone:781-331-2000
Practice Address - Fax:781-337-6104
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA234085207RC0000X
NY240168207RC0000X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA003313001Medicare PIN
NYJ400052698Medicare PIN