Individual
MR. CHARLES R THOMPSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
CALDWELL FIELD HOUSE, PRINCETON UNIVERSITY, PRINCETON, NJ 08544-0001
(609) 258-3527
(609) 258-7045
Mailing address
PO BOX 71, PRINCETON UNIVERSITY, PRINCETON, NJ 08544-0071
(609) 258-3527
(609) 258-7045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00004300
NJ
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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