Healthcare Provider Details

I. General information

NPI: 1598800179
Provider Name (Legal Business Name): JOHN P. HOUDE, M.D. P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 11/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 ELM STREET
CLAREMONT NH
03743
US

IV. Provider business mailing address

241 ELM STREET
CLAREMONT NH
03743
US

V. Phone/Fax

Practice location:
  • Phone: 603-542-7666
  • Fax:
Mailing address:
  • Phone: 603-542-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0486P
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0550030669
License Number StateVT
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0420010413
License Number StateVT
# 4
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number11504
License Number StateNH

VIII. Authorized Official

Name: DR. JOHN P HOUDE
Title or Position: PRESIDENT
Credential: MD
Phone: 603-542-7666