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Individual

DR. NATHANIEL WILLIAM NILES II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, DHMC - DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7857
Mailing address
1 MEDICAL CENTER DR, DHMC - DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-7857

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
7921
NH
207RI0011X
Interventional Cardiology Physician
Primary
7921
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1002537
VT
05
30002595
NH
Enumeration date
05/18/2006
Last updated
01/02/2015
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