Tomas Lichauco (NPI# 1134102601, PAC ID# 4486741758) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1134102601 |
| PAC ID by PECOS | 4486741758 |
| Professional Enrollment ID | I20071106000443 |
| Full Name | Tomas Lichauco |
| Organization Legal Name | DRX UC WATERTOWN PC |
| Address |
376 Arsenal St Watertown MA 02472-2892 |
| Phone Number | 6179232273 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 3476790163 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220002 | MOUNT AUBURN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 330 Mt Auburn St, Cambridge, MA 02238 | 6174995065 | MT AUBURN PROFESSIONAL SERVICES |
| 376 Arsenal St, Watertown, MA 02472-2892 | 6179232273 | DRX UC WATERTOWN PC |
| Organization Legal Name | DRX UC WATERTOWN PC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bolbotowski | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Deanna L Sumner | Nurse Practitioner | Drx Uc Watertown PC | 1398 Massachusetts Ave, Arlington, MA 02476-4150 |
| Thein Van V Cai | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Christine E Zack | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Amanda Stebbins | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Jenny Yap | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Ellen R Seitelman | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Scharukh Jalisi | Otolaryngology | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Hannah Johnson | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Street Address |
376 ARSENAL ST |
| City | WATERTOWN |
| State | MA |
| Zip | 02472-2892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Bolbotowski | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Thein Van V Cai | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Christine E Zack | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Amanda Stebbins | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Jenny Yap | Nurse Practitioner | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Ellen R Seitelman | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Scharukh Jalisi | Otolaryngology | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Hannah Johnson | Physician Assistant | Drx Uc Watertown PC | 376 Arsenal St, Watertown, MA 02472-2892 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joan Klagsbrun | Clinical Psychologist | 173 Mt Auburn St, Watertown, MA 02472 | |
| Linda K Crawford | Clinical Social Worker | 22 Mt Auburn St, Watertown, MA 02472 | |
| Paul F Kasuba | Internal Medicine | Mt Auburn Professional Services | 521 Mt Auburn St, Suite 202, Watertown, MA 02472 |
| Carol B Dorr | Clinical Social Worker | 41 Commonwealth Rd, Watertown, MA 02472-1318 | |
| Janet C Jameson | Psychologist, Clinical | 26 Winsor Ave, Watertown, MA 02472-1460 | |
| Deborah K Rosene | Psychologist, Clinical | 117 Highland Ave, Watertown, MA 02472-1642 | |
| George S. Stamatopoulos | Physical Therapy | 372 Main St, Watertown, MA 02472-2333 | |
| Lambia A Mitropoulos | Nurse Practitioner | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Rosemary E Corderi | Internal Medicine | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Renee Aversano | Internal Medicine | Steward Medical Group Inc | 63 Pleasant St, Watertown, MA 02472-2386 |
| Find all physicians in zip 02472 | |||
| City | WATERTOWN |
| Zip Code | 02472 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WATERTOWN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tomas Lichauco.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.