Provider Demographics
NPI:1215993506
Name:DOYLE, THOMAS J (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:DOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:STE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:363 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-3703
Practice Address - Country:US
Practice Address - Phone:508-973-5919
Practice Address - Fax:508-973-5916
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA228194208M00000X
MA228914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110075120AMedicaid
MA110075120AMedicaid
MA466750OtherTUFTS
MA8575395OtherCIGNA
MA2127687Medicaid
MA005330OtherSENIOR WHOLE HEALTH
MAAA73815OtherHARVARD PILGRIM
RI413782OtherBLUE CHIP
MAI68598Medicare UPIN
A40980Medicare PIN
MA00000036548OtherBMC HEALTHNET
MA042675800OtherUNITED HEALTH PLAN
MA31921-6OtherBLUE CROSS BLUE SHIELD RI
MADOA40980Medicare ID - Type UnspecifiedMEDICARE
MA0039534OtherNEIGHBORHOOD HEALTH PLAN
MA96119201OtherNETWORK HEALTH
MAJ40916OtherBLUE CROSS BLUE SHIELD MA