Healthcare Provider Details

I. General information

NPI: 1639174451
Provider Name (Legal Business Name): THOMAS M SHERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 07/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALUMNI DR STE 201
EXETER NH
03833-2122
US

IV. Provider business mailing address

7 HOLLAND WAY FL 1
EXETER NH
03833-2997
US

V. Phone/Fax

Practice location:
  • Phone: 603-772-5528
  • Fax: 603-772-5528
Mailing address:
  • Phone: 603-772-5528
  • Fax: 603-777-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number14098
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: