Individual
MATTHEW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
84 DAWN DR, MOUNT HOLLY, NJ 08060-1905
(609) 312-2098
Mailing address
84 DAWN DR, MOUNT HOLLY, NJ 08060-1905
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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