Individual
JENNIFER SU THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 WHITNEY AVE, SUITE 360, HAMDEN, CT 06518-3691
(203) 281-4463
Mailing address
2200 WHITNEY AVE, SUITE 360, HAMDEN, CT 06518-3691
(203) 281-4463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L-224528
MA
207RG0100X
Gastroenterology Physician
Primary
049594
CT
207RG0100X
Gastroenterology Physician
247343-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013043850
—
CT
Enumeration date
02/26/2007
Last updated
01/17/2012
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