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Contact Information

IAN J THORNLEY, MB BS
57 HIGHLAND AVE
NORTH SHORE CHILDRENS HOSPITAL PEDIATRIC EMERGENCY ROOM
SALEM, MA01970
 Phone: 978-354-2750
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

207PP0204X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for IAN J THORNLEY · (Male)

NPI Number 1609884519
Status Active
Credentials MB BS
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 215122
  • MA Medicaid 0175587
Hospital affiliation(s) Not Available
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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