Individual
MATTHEW DAVID THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-0000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
069627-21
NH
163W00000X
Registered Nurse
RN2290571
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
069627-23
NH
Other
Enumeration date
07/07/2020
Last updated
08/26/2022
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