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NPI Code Detail

MEDICARE: PROF. JUDY JANE THOMPSON CRNA

MEDICARE: PROF. JUDY JANE THOMPSON CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist000052CT

General Provider Information

NPI Number : 1104860709
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. JUDY JANE THOMPSON CRNA
Provider Business Mailing Address
First Line : 673 MAPLE HILL RD
Second Line :
City : GUILFORD
State : CT
Zip : 06437-1635
Country : US
Telephone Number : 203-457-0494
Fax Number :
Provider Business Practice Location Address
First Line : 275 MOUNT CARMEL AVE
Second Line :
City : HAMDEN
State : CT
Zip : 06518-1961
Country : US
Telephone Number : 203-789-3538
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2006
Last Update Date : 03/06/2014

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Directions to “ PROF. JUDY JANE THOMPSON CRNA” Practice Location

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