Individual
DR. ANGELA MICHELLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1401
(570) 271-6164
(570) 271-6141
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD068080L
PA
208000000X
Pediatrics Physician
MD068080L
PA
208M00000X
Hospitalist Physician
Primary
MD068080L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001797262
—
PA
Enumeration date
05/05/2006
Last updated
08/25/2020
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