Julia Michelle Tom, RN | |
48 Dwight St Apt 2, Brookline, MA 02446-3325 | |
(925) 518-2666 | |
Not Available |
Full Name | Julia Michelle Tom |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health |
Location | 48 Dwight St Apt 2, Brookline, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811635907 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN2321841 (Massachusetts) | Primary |
Entity Name | The Mclean Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114979580 PECOS PAC ID: 9436040961 Enrollment ID: O20040323001228 |
Mailing Address | Practice Location Address |
---|---|
Julia Michelle Tom, RN 48 Dwight St Apt 2, Brookline, MA 02446-3325 Ph: (925) 518-2666 | Julia Michelle Tom, RN 48 Dwight St Apt 2, Brookline, MA 02446-3325 Ph: (925) 518-2666 |
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