Healthcare Provider Details

I. General information

NPI: 1780662353
Provider Name (Legal Business Name): WALTER JAVIER VOIGT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MIDDLE ST
LANCASTER NH
03584-3556
US

IV. Provider business mailing address

PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE NM
87125-6666
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-2521
  • Fax: 603-788-5027
Mailing address:
  • Phone: 505-923-6770
  • Fax: 505-923-5354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number11806
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: