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Individual

CRAIG THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-7500
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8863
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110187820A
MA
05
3138940
NH
Enumeration date
04/08/2022
Last updated
06/26/2023
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