# DR. THEODORE T BROOKS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023088812
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6609 | NH | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 08/08/2018

## 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 |