Individual
DR. GREGORY M. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 W LANCASTER AVE, PMOB III, SUITE 333, PAOLI, PA 19301-1763
(610) 644-9600
(610) 644-0804
Mailing address
140 W GERMANTOWN PIKE, STE 250, PLYMOUTH MEETING, PA 19462-1421
(484) 530-0205
(484) 530-0209
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD04339E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011574150003
—
PA
01
—
03752592000
IBC
PA
01
—
557113
HIGHMARK BS
PA
Enumeration date
07/07/2005
Last updated
02/05/2020
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