Healthcare Provider Details

I. General information

NPI: 1457654543
Provider Name (Legal Business Name): MONTSHIRE PEDIATRICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2010
Last Update Date: 12/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 LYME RD
HANOVER NH
03755-1219
US

IV. Provider business mailing address

45 LYME RD
HANOVER NH
03755-1219
US

V. Phone/Fax

Practice location:
  • Phone: 603-643-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: NANCY TURKINGTON
Title or Position: PRESIDENT
Credential: MD
Phone: 603-643-6700