Organization · Type 2 NPI

Neelam M. Thacker, M.d.

Medical Specialty Clinic/Center · Medford, MA

NPI number 1942543764 Active

Practice location

101 Main St, #210
Medford, MA 02155-4540

Fax (781) 391-9929

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

49 other providers at this address

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About NPI 1942543764

Neelam M. Thacker, M.d.'s National Provider Identifier is 1942543764, issued on Mar 29, 2013. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Medford, MA. The record was last updated on Mar 29, 2013.