Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | 032980 | CT |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 032980 | CT |
NPI | 1437133410 |
---|---|
Provider Name | James Grant Thomson |
First Address | New Haven, CT 06519-1369 |
Second Address | New Haven, CT 06519-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 06/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001329805 | (05) | CT |
E73310 | (02) |