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Individual

ADAM MICHAEL THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
525 WEST CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083-4540
(610) 789-7767
(610) 789-7768
Mailing address
525 WEST CHESTER PIKE, SUITE 203, HAVERTOWN, PA 19083-4540
(610) 789-7767
(610) 789-7768

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OS020023
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1034368800002
PA
Enumeration date
06/20/2016
Last updated
09/21/2020
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