Individual
DR. SUSAN N THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
63 STATE RD, GREAT BARRINGTON, MA 01230-1223
(413) 644-9933
(413) 644-9433
Mailing address
63 STATE RD, GREAT BARRINGTON, MA 01230-1223
(413) 644-9933
(413) 644-9433
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
54979
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11004271A
—
MA
01
—
1104824804
BOSTON MEDICAL HEALTH PLAN
MA
01
—
1104824804
HEALTH NEW ENGLAND
—
Enumeration date
07/07/2005
Last updated
11/26/2012
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