Individual
DR. WANE G JOSELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Mailing address
61 PINECREST RD, MANCHESTER, NH 03104-1666
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
7122
NH
2085R0202X
Diagnostic Radiology Physician
Primary
7122
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007122
TUFTS
NH
01
—
0105455Y0 NH06
ANTHEM MCH TAX ID
NH
01
—
0105455Y0NH03
BLUE CROSS
NE
01
—
2176872
AETNA
NH
01
—
2781
CIGNA
NH
05
—
30001058
—
NH
Enumeration date
04/14/2006
Last updated
12/18/2023
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