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Individual
DR. JAY BRYAN BANNISTER
Active
Individual
DR. JAY BRYAN BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11361
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP03530NH02
ANTHEM
—
01
—
222594672
MARTINS POINT
NH
05
—
30201994
—
NH
01
—
371511
MVP
NH
01
—
538777
CIGNA
NH
01
—
9034053
AETNA
NH
01
—
AA95518
HARVARD PILGRIM
NH
Enumeration date
05/23/2005
Last updated
05/05/2011
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