Individual
DR. PETER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3014
(856) 342-2817
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 963-6888
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA04898900
NJ
2086S0127X
Trauma Surgery Physician
Primary
25MA04898900
NJ
2086S0129X
Vascular Surgery Physician
25MA04898900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054424
RAILROAD MC
NJ
01
—
0683523000
AMERIHEALTH
NJ
01
—
1167806
HORIZON MERCY
NJ
01
—
14987
UNIVERSITY HEALTH PLANS
NJ
01
—
200001299
AETNA
NJ
05
—
6031803
—
NJ
01
—
AT000006700
AMERICHOICE
NJ
01
—
MA04898900
STATE LICENSE
NJ
Enumeration date
02/21/2006
Last updated
04/29/2010
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