Provider Demographics
NPI:1659352904
Name:THRALL, JAMES H (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:THRALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-5244
Mailing Address - Fax:617-726-3077
Practice Address - Street 1:55 FRUIT STREET FND 2
Practice Address - Street 2:RAIOLOGICAL ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-5244
Practice Address - Fax:617-726-3077
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2013-01-03
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Provider Licenses
StateLicense IDTaxonomies
MA58918207U00000X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3030059Medicaid
MAJ07006OtherBCBS MA
MA058918OtherTUFTS HEALTH PLAN
MAJ07006OtherBCBS MA
A66540Medicare UPIN