MEDICARE: HARRIET YOUNG 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
1	207P00000X	Emergency Medicine Physician	217218	MA
2	207P00000X	Emergency Medicine Physician	11981	NH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00835332	OTHER	NH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1841248937	OTHER	NH	ANTHEM BCBS NH
3	1841248937	OTHER	NH	TRICARE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841248937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HARRIET YOUNG M.D.

Provider Business Mailing Address
First Line	:	172 KINSLEY ST.
Second Line	:	ST. JOSEPH HOSPITAL- EMERGENCY DEPARTMENT
City	:	NASHUA
State	:	NH
Zip	:	03061-2013
Country	:	US
Telephone Number	:	603-882-3000
Fax Number	:

Provider Business Practice Location Address
First Line	:	172 KINSLEY ST.
Second Line	:	ST. JOSEPH HOSPITAL- EMERGENCY DEPARTMENT
City	:	NASHUA
State	:	NH
Zip	:	03061-2013
Country	:	US
Telephone Number	:	603-882-3000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	08/31/2010

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Directions to “ HARRIET YOUNG M.D.” Practice Location

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