Individual
HOWARD MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
59 PAGE HILL RD, ANESTHESIA DEPARTMENT, BERLIN, NH 03570-3531
(603) 752-3382
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 326-5999
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
039337-23-11
NH
363L00000X
Nurse Practitioner
039337-21
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
039337-23-11
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30006944
—
NH
Enumeration date
06/22/2006
Last updated
09/23/2010
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