Individual
BENJAMIN TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 SPRING ST, SUITE 101, LACONIA, NH 03246-3135
(603) 524-3211
(603) 524-0089
Mailing address
87 SPRING ST, SUITE 101, LACONIA, NH 03246-3135
(603) 524-3211
(603) 524-0089
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6367
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000604
—
NH
01
—
0104493YONH01
ANTHEM
NH
01
—
2670
CIGNA
NH
Enumeration date
06/20/2006
Last updated
09/29/2011
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