Provider Demographics
NPI:1801129622
Name:THOMSON, CATHY B (MD)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:B
Last Name:THOMSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12288 165TH RD N
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33478-6064
Mailing Address - Country:US
Mailing Address - Phone:561-746-7729
Mailing Address - Fax:561-746-3180
Practice Address - Street 1:12288 165TH RD N
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33478-6064
Practice Address - Country:US
Practice Address - Phone:561-746-7729
Practice Address - Fax:561-746-3180
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-11
Last Update Date:2009-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0036362207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery