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Contact Information

THADDEUS P DRYJA, MD
243 CHARLES ST
BOSTON, MA02114-3002
 Phone: 617-573-3319
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Clinical Pathology/Laboratory Medicine

207ZP0105X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for THADDEUS P DRYJA · (Male)

NPI # 1619961968
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2005
Last updated 10/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 41891
  • MA Medicaid 0148296
Hospital affiliation(s)
  • MASSACHUSETTS EYE AND EAR INFIRMARY - (Acute Care)
    243 CHARLES STREET
    BOSTON, MA 02114
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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