MEDICARE: ALYSE K KANTER MD

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
1	207V00000X	Obstetrics & Gynecology Physician	11703	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020456218	OTHER	NH	TAX ID
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518951250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSE K KANTER MD

Provider Business Mailing Address
First Line	:	10 PROSPECT ST
Second Line	:	SUITE 402
City	:	NASHUA
State	:	NH
Zip	:	03060-3922
Country	:	US
Telephone Number	:	603-577-3131
Fax Number	:	603-577-3132

Provider Business Practice Location Address
First Line	:	10 PROSPECT ST
Second Line	:	SUITE 402
City	:	NASHUA
State	:	NH
Zip	:	03060-3922
Country	:	US
Telephone Number	:	603-577-3131
Fax Number	:	603-577-3132

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2005
Last Update Date	:	01/11/2008

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Directions to “ ALYSE K KANTER MD” Practice Location

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