Provider Demographics
NPI:1922186840
Name:WINTERS, THOMAS H (MD, FACOEM)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:H
Last Name:WINTERS
Suffix:
Gender:M
Credentials:MD, FACOEM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 MOUNT ROYAL AVE STE 410
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1976
Mailing Address - Country:US
Mailing Address - Phone:508-251-7260
Mailing Address - Fax:508-251-7265
Practice Address - Street 1:333 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:857-218-3046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37053207R00000X, 207RI0200X, 2083P0500X
CT34370207R00000X, 2083P0500X, 2083X0100X
RIMD10701207R00000X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine