Healthcare Provider Details

I. General information

NPI: 1912115676
Provider Name (Legal Business Name): FW DANBY, MD & LJ MARGESSON, MD, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 CHESTNUT ST
MANCHESTER NH
03104-3002
US

IV. Provider business mailing address

721 CHESTNUT ST
MANCHESTER NH
03104-3002
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-0858
  • Fax: 603-647-0017
Mailing address:
  • Phone: 603-668-0858
  • Fax: 603-647-0017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. F. WILLIAM DANBY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 603-668-0858