Individual
DR. CHARLES GEORGE LEUTZINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2361
(603) 668-4303
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(800) 866-6663
(888) 413-1065
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
6390
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82303788
—
NH
Enumeration date
11/15/2006
Last updated
07/08/2007
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