Healthcare Provider Details

I. General information

NPI: 1750577946
Provider Name (Legal Business Name): JULIE PLANTE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2007
Last Update Date: 09/20/2007
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

250 PLEASANT ST
CONCORD NH
03301-7539
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-9661
  • Fax: 603-228-7051
Mailing address:
  • Phone: 603-227-7140
  • Fax: 603-227-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number13639
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: