Individual
ASHANEE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-4677
(203) 384-3135
Mailing address
139 HAZARD AVE STE 2, ENFIELD, CT 06082-4585
(860) 253-0037
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56719
CT
208M00000X
Hospitalist Physician
Primary
56719
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2014
Last updated
06/22/2021
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