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NPI Code Detail

MEDICARE: CHARLES THOMPSON MD

MEDICARE: CHARLES THOMPSON MD
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
1207L00000XAnesthesiology Physician25357CT

General Provider Information

NPI Number : 1437132750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES THOMPSON MD
Provider Business Mailing Address
First Line : 4 ARMSTRONG RD
Second Line :
City : SHELTON
State : CT
Zip : 06484-4721
Country : US
Telephone Number : 203-929-7353
Fax Number : 203-929-0756
Provider Business Practice Location Address
First Line : 2800 MAIN ST
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06606-4201
Country : US
Telephone Number : 203-929-7353
Fax Number : 203-929-0756
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2005
Last Update Date : 07/08/2007

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Directions to “ CHARLES THOMPSON MD” Practice Location

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