Individual
ALICE CHINN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 FENWOOD RD FL 5, BOSTON, MA 02115-6103
(617) 754-1239
Mailing address
47 SYMPHONY RD APT 103, BOSTON, MA 02115-4012
(978) 618-3134
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HPP54540802
HARVARD PILGRIM
MA
Enumeration date
11/13/2018
Last updated
11/13/2018
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