Healthcare Provider Details

I. General information

NPI: 1508080342
Provider Name (Legal Business Name): CYNTHIA ANNE KAHN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HAZEN DR
CONCORD NH
03301-6503
US

IV. Provider business mailing address

47 BUCKINGHAM DR
LONDONDERRY NH
03053-2312
US

V. Phone/Fax

Practice location:
  • Phone: 603-271-4533
  • Fax: 603-217-4902
Mailing address:
  • Phone: 603-425-2057
  • Fax: 603-271-4902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License Number10083
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: