Healthcare Provider Details

I. General information

NPI: 1104868082
Provider Name (Legal Business Name): ALEJANDRO SARANGLAO JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 03/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PLEASANT ST SUITE G100
CONCORD NH
03301-2588
US

IV. Provider business mailing address

248 PLEASANT STREET SUITE G100
CONCORD NH
03301-2526
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-9661
  • Fax: 603-228-7051
Mailing address:
  • Phone: 603-224-9661
  • Fax: 603-228-7051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number12176
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number12176
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: