Healthcare Provider Details

I. General information

NPI: 1144214479
Provider Name (Legal Business Name): CHRISTOPHER COUTURE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2005
Last Update Date: 05/27/2020
Certification Date: 05/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

696 DANIEL WEBSTER HWY
MERRIMACK NH
03054-2748
US

IV. Provider business mailing address

696 DANIEL WEBSTER HIGHWAY
MERRIMACK NH
03054
US

V. Phone/Fax

Practice location:
  • Phone: 603-429-3155
  • Fax: 603-424-8693
Mailing address:
  • Phone: 603-429-3155
  • Fax: 603-424-8693

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number13034
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: