Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | C10009055 | DE |
Y | 208000000X | Pediatrician | C10009055 | DE |
N | 208000000X | Pediatrician | MD035739 | DC |
NPI | 1669451720 |
---|---|
Provider Name | Dr. Amy D. Thompson |
First Address | Rockland, DE 19723-0191 |
Second Address | Wilmington, DE 19803-3607 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2006 |
Last Update Date | 16/07/2009 |