Healthcare Provider Details

I. General information

NPI: 1902860307
Provider Name (Legal Business Name): EDUARDO WILLIAM QUESADA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY SUITE 200
MANCHESTER NH
03103-3502
US

IV. Provider business mailing address

1 ELLIOT WAY SUITE 200
MANCHESTER NH
03103-3502
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-2315
  • Fax: 603-647-9180
Mailing address:
  • Phone: 603-663-2315
  • Fax: 603-647-9180

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number10342
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number10342
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: