Miss Brooke T Thompson, RD | |
1 Hayden Drive, Ambler, PA 19002 | |
(410) 513-9430 | |
Not Available |
Full Name | Miss Brooke T Thompson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1 Hayden Drive, Ambler, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598368136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | DN007299 (Pennsylvania) | Primary |
Provider Name | Lehigh Valley Physician Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
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Miss Brooke T Thompson, RD 1 Hayden Drive, Ambler, PA 19002 Ph: (410) 513-9430 | Miss Brooke T Thompson, RD 1 Hayden Drive, Ambler, PA 19002 Ph: (410) 513-9430 |
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Stephanie Klein, Dietitian Medicare: Medicare Enrolled Practice Location: 300 Brookside Ave, Ambler, PA 19002 Phone: 877-842-2425 | |
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