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NPI Code Detail

MEDICARE: MATTHEW BENJAMIN LIPNER

MEDICARE:   MATTHEW BENJAMIN LIPNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician33712NH

General Provider Information

NPI Number : 1235710831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BENJAMIN LIPNER
Provider Business Mailing Address
First Line : 111 NEW HAMPSHIRE AVE STE 2
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-2864
Country : US
Telephone Number : 330-947-6021
Fax Number :
Provider Business Practice Location Address
First Line : 135 HOOKSETT RD
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-2641
Country : US
Telephone Number : 603-441-1076
Fax Number : 603-369-4663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2021
Last Update Date : 05/27/2025

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Directions to “ MATTHEW BENJAMIN LIPNER ” Practice Location

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