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Individual

KEVIN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
736 CAMBRIDGE ST, BOSTON, MA 02135-2907

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
1018346
MA
2085R0202X
Diagnostic Radiology Physician
Primary
1018346
MA

Other

Enumeration date
06/22/2019
Last updated
06/25/2024
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