NPI 1750783619

Thompson Medical LLC

Organisation Family Medicine Physician North Grosvenordale, CT

Practice location

Address: 415 Riverside Dr, North Grosvenordale, CT 06255-2165
Phone: (860) 923-1190
Fax: (860) 923-0134

Authorised official

Name: Lisa a Coderre
Title: Office Manager
Phone: (860) 923-1181

Registered specialties (3)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1750783619
Entity type: Organization
NPI issued: 23 Sep 2014
Record last updated: 25 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.