Healthcare Provider Details

I. General information

NPI: 1891089496
Provider Name (Legal Business Name): ALLEN P HOANG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 07/22/2020
Certification Date: 07/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
CONCORD NH
03301
US

IV. Provider business mailing address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, GROUND FLO
CONCORD NH
03301
US

V. Phone/Fax

Practice location:
  • Phone: 603-242-6070
  • Fax:
Mailing address:
  • Phone: 603-242-6070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number18114
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: