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NPI Code Detail

MEDICARE: EAR NOSE THROAT PHYSICIANS & SURGEONS PA

MEDICARE: EAR NOSE THROAT PHYSICIANS & SURGEONS PA
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
1207Y00000XOtolaryngology Physician

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 : 1902893878
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAR NOSE THROAT PHYSICIANS & SURGEONS PA
Provider Business Mailing Address
First Line : 130 TARRYTOWN RD
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-2713
Country : US
Telephone Number : 603-669-0831
Fax Number : 603-669-4088
Provider Business Practice Location Address
First Line : 130 TARRYTOWN RD
Second Line :
City : MANCHESTER
State : NH
Zip : 03103-2713
Country : US
Telephone Number : 603-669-0831
Fax Number : 603-669-4088
Authorized Official
Title or Position : OWNER/MEDICAL DOCTOR
Name : JEFFREY BYER
Credential : MD
Telephone Number : 603-623-0542
Provider Enumeration Date : 10/05/2005
Last Update Date : 03/09/2021

Similar Medicare Providers

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Practice Location Address:
144 TARRYTOWN RD
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1184617235 — DAVID JOHN CABAN OD
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184 TARRYTOWN RD
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1538153077 — DR. WAYNE L. GOLDNER M.D.
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Practice Phone: 603-622-3162
Practice Fax: 603-622-8677
1215922604 — DR. JENNIFER M. DONOFRIO M.D.
Practice Location Address:
150 TARRYTOWN RD
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Practice Fax: 603-622-8677
1841285236 — DR. HEIDI L MEINZ M.D.
Practice Location Address:
150 TARRYTOWN RD
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1104811595 — DR. GARY A WASSERMAN M.D.
Practice Location Address:
150 TARRYTOWN RD
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Practice Fax: 603-622-8677

Directions to “EAR NOSE THROAT PHYSICIANS & SURGEONS PA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.