Individual
DR. SHANNON ANNE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
52 CREST AVE, WINTHROP, MA 02152-1064
(617) 539-0197
(617) 539-0669
Mailing address
52 CREST AVE, WINTHROP, MA 02152-1064
(617) 539-0197
(617) 539-0669
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2341
MA
213ES0103X
Foot & Ankle Surgery Podiatrist
PO 3118
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110078988A
—
MA
Enumeration date
02/15/2006
Last updated
03/21/2012
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