Provider Demographics
NPI:1356541452
Name:THOMPSON, CHERYL ANN (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:112 MARWOOD RD
Mailing Address - Street 2:#5000
Mailing Address - City:CABOT
Mailing Address - State:PA
Mailing Address - Zip Code:16023-2239
Mailing Address - Country:US
Mailing Address - Phone:724-352-4448
Mailing Address - Fax:724-352-4412
Practice Address - Street 1:112 MARWOOD RD
Practice Address - Street 2:#5000
Practice Address - City:CABOT
Practice Address - State:PA
Practice Address - Zip Code:16023-2239
Practice Address - Country:US
Practice Address - Phone:724-352-4448
Practice Address - Fax:724-352-4412
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD442874207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine