Search › Massachusetts › 101YA0400X
Thomas Magnan, LADCI
NPI 1891006177 · on the registry since 2010 · sole proprietor
Practice
- Address
- 49 L St
South Boston, MA 02127 - Phone
- (617) 268-5000
- Fax
- (617) 268-5008
- Organisation at this address
- Gavin Foundation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-07-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts