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NPI Code Detail

MEDICARE: DR. GEOFFREY A. LUNDY M.D.

MEDICARE: DR. GEOFFREY A. LUNDY M.D.
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
1207R00000XInternal Medicine Physician9840NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174509376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEOFFREY A. LUNDY M.D.
Provider Business Mailing Address
First Line : 25 S RIVER RD
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6708
Country : US
Telephone Number : 603-695-2572
Fax Number : 603-695-6195
Provider Business Practice Location Address
First Line : 25 S RIVER RD
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6708
Country : US
Telephone Number : 603-695-2572
Fax Number : 603-695-6195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/20/2011

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