Healthcare Provider Details

I. General information

NPI: 1336163047
Provider Name (Legal Business Name): JAMES DAVID BECHT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY RADIATION ONCOLOGY DEPARTMENT
MANCHESTER NH
03103-3502
US

IV. Provider business mailing address

1 ELLIOT WAY RADIATION ONCOLOGY DEPARTMENT
MANCHESTER NH
03103-3502
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-1800
  • Fax: 603-668-4303
Mailing address:
  • Phone: 603-663-1800
  • Fax: 603-668-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number7671
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: