Healthcare Provider Details

I. General information

NPI: 1851645477
Provider Name (Legal Business Name): MONTSHIRE PEDIATRICS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2012
Last Update Date: 11/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 LYME RD SUITE 105
HANOVER NH
03755-1219
US

IV. Provider business mailing address

45 LYME RD SUITE 105
HANOVER NH
03755-1219
US

V. Phone/Fax

Practice location:
  • Phone: 603-643-6700
  • Fax: 603-643-6710
Mailing address:
  • Phone: 603-643-6700
  • Fax: 603-643-6710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number12923
License Number StateNH

VIII. Authorized Official

Name: DR. NANCY TURKINGTON
Title or Position: CEO/OWNER
Credential: M.D.
Phone: 603-643-6700