Healthcare Provider Details

I. General information

NPI: 1487644977
Provider Name (Legal Business Name): DOUGLAS GRIFFITHS MEUSER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MAPLE ST STE 210
GILFORD NH
03249-6580
US

IV. Provider business mailing address

14 MAPLE ST
GILFORD NH
03249-6580
US

V. Phone/Fax

Practice location:
  • Phone: 603-527-7114
  • Fax: 603-227-7804
Mailing address:
  • Phone: 603-527-7114
  • Fax: 603-227-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberME49531
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number0101275582
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME49531
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: