Healthcare Provider Details

I. General information

NPI: 1710942354
Provider Name (Legal Business Name): CHRISTOPHER N DAINIAK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WASHINGTON PL STE 201
BEDFORD NH
03110-6750
US

IV. Provider business mailing address

9 WASHINGTON PL STE 201
BEDFORD NH
03110-6750
US

V. Phone/Fax

Practice location:
  • Phone: 603-367-3064
  • Fax: 603-367-3065
Mailing address:
  • Phone: 603-367-3064
  • Fax: 603-367-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number13037
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: