Healthcare Provider Details
I. General information
NPI: 1730311192
Provider Name (Legal Business Name): ROBERT JAMES COMEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/19/2009
Last Update Date: 08/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 MEDICAL CENTER DR DHMC DEPARTMENT OF SLEEP MEDICINE
LEBANON NH
03756-1000
US
IV. Provider business mailing address
1 MEDICAL CENTER DR DHMC DEPARTMENT OF SLEEP MEDICINE
LEBANON NH
03756-1000
US
V. Phone/Fax
- Phone: 603-650-7534
- Fax: 603-650-7820
- Phone: 603-650-7534
- Fax: 603-650-7820
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084S0012X |
| Taxonomy | Sleep Medicine (Psychiatry & Neurology) Physician |
| License Number | RT1973 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: