Provider Demographics
NPI:1881892610
Name:ALDEN, THOMAS ELIASON (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:ELIASON
Last Name:ALDEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 381283
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02238-1283
Mailing Address - Country:US
Mailing Address - Phone:617-926-9648
Mailing Address - Fax:617-354-9723
Practice Address - Street 1:17 SPRING ST
Practice Address - Street 2:#1
Practice Address - City:WATERTOWN
Practice Address - State:MA
Practice Address - Zip Code:02472-3411
Practice Address - Country:US
Practice Address - Phone:617-926-9648
Practice Address - Fax:617-354-9723
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MACH962111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY35691OtherBLUE CROSS BLUE SHIELD MA