Healthcare Provider Details
I. General information
NPI: 1144270216
Provider Name (Legal Business Name): ANDREW S WEEKS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/11/2006
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 ALUMNI DR FL 2
EXETER NH
03833-2128
US
IV. Provider business mailing address
7 HOLLAND WAY FL 1
EXETER NH
03833-2997
US
V. Phone/Fax
- Phone: 603-580-7525
- Fax: 603-580-7542
- Phone: 603-580-7525
- Fax: 603-580-7542
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 8189 |
| License Number State | NH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | 8189 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: