Provider Demographics
NPI:1124070008
Name:VERDI, THOMAS A (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:A
Last Name:VERDI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:133 BROOKLINE AVE
Mailing Address - Street 2:RADIOLOGY DEPT
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-1336
Mailing Address - Fax:617-421-1359
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:RADIOLOGY DEPT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1336
Practice Address - Fax:617-421-1359
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-03-05
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Provider Licenses
StateLicense IDTaxonomies
MA586752085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
3026272OtherMEDICAID WELFARE
J06727OtherBLUE CARE ELECT
J06727OtherBLUE SHIELD INDEMNITY
J06727OtherBLUE SHIELD HMO BLUE
042472266OtherONE HEALTH PLAN
MA3026272Medicaid
7384295OtherAETNA US HEALTHCARE
784218OtherMVP HEALTH CARE
7996OtherFALLON COMMUNITY HEALTH P
042472266OtherHEALTHCARE VALUE MANAGEME
1150385OtherFIRST HEALTH
1179211OtherCIGNA HEALTH PLAN
J06727OtherMEDICARE B
27032OtherHEALTHY START
300081204OtherRAILROAD MEDICARE
042472266OtherPRIVATE HEALTHCARE SYSTEM
27032OtherCHILDRENS MEDICAL SECURIT
AA2843OtherHARVARD PILGRIM HEALTHCAR
J06727OtherBLUE CARE ELECT
J06727OtherBLUE SHIELD HMO BLUE