Healthcare Provider Details

I. General information

NPI: 1770626970
Provider Name (Legal Business Name): PETER B. SAHLIN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2007
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SWIFTWATER RD COTTAGE HOSPITAL
WOODSVILLE NH
03785-1421
US

IV. Provider business mailing address

PO BOX 910
FRANCONIA NH
03580-0910
US

V. Phone/Fax

Practice location:
  • Phone: 603-747-9000
  • Fax:
Mailing address:
  • Phone: 603-823-9962
  • Fax: 603-823-5936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. INEZ SARAH SAHLIN
Title or Position: CLERK
Credential:
Phone: 603-823-9962