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NPI Code Detail

MEDICARE: ERIC H TWERDAHL JR. MD

MEDICARE: ERIC H TWERDAHL JR. MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0129XVascular Surgery PhysicianMD210001833DC
22086S0129XVascular Surgery Physician35090NH
3208600000XSurgery PhysicianL-244073MA
42086S0129XVascular Surgery Physician0101257909VA

General Provider Information

NPI Number : 1093035461
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC H TWERDAHL JR. MD
Provider Business Mailing Address
First Line : PO BOX 810
Second Line :
City : HANOVER
State : NH
Zip : 03755-0810
Country : US
Telephone Number : 603-308-1467
Fax Number :
Provider Business Practice Location Address
First Line : 1 MEDICAL CENTER DR
Second Line :
City : LEBANON
State : NH
Zip : 03756-0001
Country : US
Telephone Number : 603-650-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2010
Last Update Date : 05/28/2026

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