Individual
MICHAEL J THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3206
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
150223
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110057221A
—
MA
Enumeration date
11/29/2005
Last updated
10/30/2020
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