Provider Demographics
NPI:1902997885
Name:THOMAS, AARON R (DO)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:R
Last Name:THOMAS
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 NORTHEASTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3161
Mailing Address - Country:US
Mailing Address - Phone:038-882-3616
Mailing Address - Fax:603-595-7414
Practice Address - Street 1:21 HIGHLAND AVE STE 24
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-3873
Practice Address - Country:US
Practice Address - Phone:978-462-1555
Practice Address - Fax:978-462-1560
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226794207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2116049Medicaid
MA2116049Medicaid
MAI49888Medicare UPIN