Individual
IFE A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 S. CHARLES STREET, BALTIMORE, MD 21230
(410) 547-8500
Mailing address
709 BESTGATE RD, ANNAPOLIS, MD 21401-2135
(410) 693-0839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002936
MD
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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