# DR. DOMINIC F. GEFFKEN

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

## Provider details

- **NPI number:** 1861497778
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12378 | NH | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | 12378 | NH | — |

## Other

- **Enumeration date:** 06/16/2005
- **Last updated:** 08/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01YP07636NH01 | ANTHEM | NH |
| 01 | — | 2139351 | CIGNA | NH |
| 01 | — | 222594672 | HEALTHCARE VALUE MANAGE | NH |
| 01 | — | 4126900 | MVP HEALTHCARE | NH |
| 01 | — | 7445605 | AETNA | NH |
| 05 | — | 80300001 | — | NH |
| 01 | — | AA15532 | HARVARD PILGRIM | NH |
