Individual
DR. THEODORE T BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14 TSIENNETO RD STE 200A, DERRY, NH 03038
(603) 537-1300
Mailing address
6 BUTTRICK RD STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
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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