Victor Masaru Thompson

NPI 1003214446 - Community Health Worker - 172V00000X

NPI Details
NPI 1003214446
Gender Male
Enumeration Date 12/17/2014
Last Updated 12/17/2014
Entity Type Individual
Active Over 1 year ago
Practice Location
111 SOUTH ST
SOMERVILLE MA, 02143-4297, US
Phone (617) 284-5130
Fax
Business Location
24 HARRISON AVE
CAMBRIDGE MA, 02140-1610, US
Phone (408) 393-0742
Fax
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Victor Masaru Thompson NPI is 1003214446, taxonomy code is 172V00000X Victor Masaru Thompson physically located at 111 South St, Somerville MA, 02143-4297. NPI Number Victor Masaru Thompson has the Individual type.

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1003214446 NPI number is provided on an as is basis without warranty of any kind. 1003214446 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Masaru Thompson are for informational purposes only.