Individual
DR. BENJAMIN M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
202 US ROUTE 1, TRUE NORTH, FALMOUTH, ME 04105-1327
(207) 871-4488
Mailing address
68 LOVEITTS FIELD RD, SOUTH PORTLAND, ME 04106-5123
(207) 799-3965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
011789
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28465
BLUE CROSS/ BLUE SHIELD
VT
05
—
OVN1250
—
VT
Enumeration date
09/20/2006
Last updated
07/08/2007
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