Individual
ROBERT A THOMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL PL, POB 802, BALTIMORE, MD 21202-2102
(410) 332-9654
(410) 685-8975
Mailing address
PO BOX 64075, BALTIMORE, MD 21264-4075
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D40563
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083561700
—
MD
01
—
KV53ST / 523341
BC / BS OF MD
MD
01
—
S186 / 0032
BLUECHOICE
MD
Enumeration date
06/28/2006
Last updated
07/08/2007
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