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Individual

GUS G. EMMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 CHAMBERS DR STE 2200, HOOKSETT, NH 03106-1981
(603) 641-5386
(603) 641-5387
Mailing address
20 CHAMBERS DR STE 2200, HOOKSETT, NH 03106-1981
(603) 641-5386
(603) 641-5387

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11270
NH
208000000X
Pediatrics Physician
11270
NH
208000000X
Pediatrics Physician
285593
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01YP03155NH01
ANTHEM ACES PIN
NH
01
0443297
UHC PIN
NH
01
112700
TUFTS PIN
NH
01
2575641
AETNA PIN
NH
05
30201479
NH
01
520230
CIGNA PIN
NH
01
990015540
RR MEDICARE PIN
NH
01
H43842
ANTHEM REFERRING UPIN
NH
01
NH2088
HPHC PIN
NH
Enumeration date
11/09/2005
Last updated
07/24/2024
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