Provider Demographics
NPI:1932362191
Name:GEORGE G. THOMSON, MD
Entity Type:Organization
Organization Name:GEORGE G. THOMSON, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:GRAHAM
Authorized Official - Last Name:THOMSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-924-3644
Mailing Address - Street 1:69 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2419
Mailing Address - Country:US
Mailing Address - Phone:603-924-3644
Mailing Address - Fax:603-924-7420
Practice Address - Street 1:69 MAIN ST
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2419
Practice Address - Country:US
Practice Address - Phone:603-924-3644
Practice Address - Fax:603-924-7420
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH8923207Q00000X
208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0109069YONH09OtherANTHEM BLUE CROSS & BLUE SHIELD
NH426381OtherTUFTS
NHAA93229OtherHARVARD PILGRIM
NH30005649Medicaid
NH=========0001OtherCIGNA
NH=========0001OtherCIGNA
NHRE2584Medicare PIN