Healthcare Provider Details
I. General information
NPI: 1194893495
Provider Name (Legal Business Name): THOMAS ELLIOT OXMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/04/2006
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 MEDICAL CENTER DR DHMC, DEPARTMENT OF PSYCHIATRY
LEBANON NH
03756-1000
US
IV. Provider business mailing address
1 MEDICAL CENTER DR DHMC, DEPARTMENT OF PSYCHIATRY
LEBANON NH
03756-1000
US
V. Phone/Fax
- Phone: 603-650-7232
- Fax: 603-650-9478
- Phone: 603-650-7232
- Fax: 603-650-9478
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0805X |
| Taxonomy | Geriatric Psychiatry Physician |
| License Number | 6744 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: