Individual
TIMOTHY J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
19 FRIENDSHIP ST, SUITE 330, NEWPORT, RI 02840-2200
(401) 849-6868
Mailing address
100 BROADWAY, NEWPORT, RI 02840
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00345
RI
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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