Individual
ROGER MCLACHLAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 LEONARDVILLE RD, MIDDLETOWN, NJ 07748-2311
(732) 671-0860
(732) 671-6467
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA4286300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035653
AETNA HMO
—
01
—
080059317
RAILROAD MEDICARE
—
01
—
0K4746
HEALTH NET
NJ
01
—
4308075
AETNA
—
01
—
450873
UNITED HEALTHCARE
NJ
05
—
4794303
—
NJ
01
—
63D621
EMPIRE BC/BS
NY
01
—
63D622
EMPIRE BC/BS
NY
01
—
7041706
CIGNA
NJ
01
—
875121
AETNA CAPITATION
—
01
—
MP172
OXFORD
NJ
Enumeration date
11/22/2005
Last updated
04/12/2022
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