Individual
CHARLES J BRENTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 TYLER ST, CLAREMONT, NH 03743
(603) 543-1251
(603) 542-3558
Mailing address
55 TYLER ST, CLAREMONT, NH 03743
(603) 543-1251
(603) 542-3558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5892
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80006836
—
NH
Enumeration date
10/27/2006
Last updated
07/08/2007
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