Healthcare Provider Details

I. General information

NPI: 1205853199
Provider Name (Legal Business Name): DAVID SAUL DEIFIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 PROSPECT ST
NASHUA NH
03060-3924
US

IV. Provider business mailing address

22 PROSPECT ST
NASHUA NH
03060-3924
US

V. Phone/Fax

Practice location:
  • Phone: 603-883-1626
  • Fax: 603-816-1039
Mailing address:
  • Phone: 603-883-1626
  • Fax: 603-816-1039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number6822
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: