Provider Demographics
NPI:1821051749
Name:SALINES, THOMAS GUY (NP)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:GUY
Last Name:SALINES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-3138
Mailing Address - Country:US
Mailing Address - Phone:781-662-4934
Mailing Address - Fax:781-662-4711
Practice Address - Street 1:675 MAIN ST
Practice Address - Street 2:
Practice Address - City:MELROSE
Practice Address - State:MA
Practice Address - Zip Code:02176-3138
Practice Address - Country:US
Practice Address - Phone:781-662-4934
Practice Address - Fax:781-662-4711
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA198714--NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP11198Medicare UPIN
MANP2536Medicare ID - Type Unspecified