Matthew Thompson, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Mount Holly, NJ. Individual provider (NPI-1).
NPI number1760617088
StatusActive
Last updated in NPPESMay 18, 2009
Details
- NPI
- 1760617088
- Entity type
- Individual (NPI-1)
- Name
- Matthew Thompson
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 18, 2009
- Last updated
- May 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
84 Dawn DrMount Holly, NJ 08060-1905
Phone 609-312-2098
Mailing address
84 Dawn DrMount Holly, NJ 08060-1905
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