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Individual
DR. THEODORE T BROOKS
Active
Individual
DR. THEODORE T BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6609
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000797
—
NH
01
—
0109379
UNITED HEALTHCARE
NH
01
—
0706612
AETNA USHC
NH
01
—
404433
TUFTS
NH
01
—
E13701
HARVARD
NH
Enumeration date
01/24/2006
Last updated
08/08/2018
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