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NPI Code Detail

MEDICARE: THOMAS MEREDITH MD

MEDICARE: THOMAS MEREDITH 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
1208000000XPediatrics Physician10489NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25830418OTHERAETNA GROUP
310489OTHERNHSTATE LICENSE#
47111690001OTHERNHCIGNA HEALTHCARE

General Provider Information

NPI Number : 1740282680
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS MEREDITH MD
Provider Business Mailing Address
First Line : 54 WILLOW ST
Second Line :
City : BERLIN
State : NH
Zip : 03570-2084
Country : US
Telephone Number : 603-752-3669
Fax Number : 603-752-3027
Provider Business Practice Location Address
First Line : 59 PAGE HILL RD
Second Line :
City : BERLIN
State : NH
Zip : 03570-3531
Country : US
Telephone Number : 603-752-2900
Fax Number : 603-752-3727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 03/07/2023

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Directions to “ THOMAS MEREDITH MD” Practice Location

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