Individual
DR. CHENGTA RICHARD DAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
168 KINSLEY STREET, SUITE 20, NASHUA, NH 03060
(603) 578-9363
(603) 578-9539
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6861
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079372
—
NH
Enumeration date
11/13/2006
Last updated
03/06/2020
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