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Individual
ROGER MCLACHLAN THOMPSON
Active
Individual
ROGER MCLACHLAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA4286300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035653
AETNA HMO
—
01
—
080059317
RAILROAD MEDICARE
—
01
—
0K4746
HEALTH NET
NJ
01
—
4308075
AETNA
—
01
—
450873
UNITED HEALTHCARE
NJ
05
—
4794303
—
NJ
01
—
63D621
EMPIRE BC/BS
NY
01
—
63D622
EMPIRE BC/BS
NY
01
—
7041706
CIGNA
NJ
01
—
875121
AETNA CAPITATION
—
01
—
MP172
OXFORD
NJ
Enumeration date
11/22/2005
Last updated
04/12/2022
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