Healthcare Provider Details

I. General information

NPI: 1497720833
Provider Name (Legal Business Name): DAVID REINTHAL NASH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 10/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 COURT STREET ALLERGY & IMMUNOLOGY
KEENE NH
03431
US

IV. Provider business mailing address

590 COURT STREET ALLERGY & IMMUNOLOGY
KEENE NH
03431
US

V. Phone/Fax

Practice location:
  • Phone: 603-354-5400
  • Fax:
Mailing address:
  • Phone: 603-354-5400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0201X
TaxonomyPediatric Allergy/Immunology Physician
License Number18335
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: