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Physicians Obstetrics & Gynecology Gynecologic Oncology

Provider NPI: 1700940319

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 603-433-5226  Fax: 603-433-4939

Business Mailing Address:
Tel: 603-433-5226  Fax: 603-433-4939

NPI Information:
NPI: 1700940319
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Obstetrics & Gynecology
Gynecologic Oncology
Obstetrics & Gynecology

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207VX0201X





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