Healthcare Provider Details

I. General information

NPI: 1235247313
Provider Name (Legal Business Name): HUGH V MACDONALD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 07/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 EXETER RD UNIT 300
NEWMARKET NH
03857
US

IV. Provider business mailing address

789 CENTRAL AVE
DOVER NH
03820-2526
US

V. Phone/Fax

Practice location:
  • Phone: 603-659-0901
  • Fax: 603-659-0906
Mailing address:
  • Phone: 603-659-0901
  • Fax: 603-659-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD18115
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number13349
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: