Individual
HETAL R. DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Mailing address
138 WEBSTER ST, MANCHESTER, NH 03104-2512
(603) 663-7030
(603) 663-7039
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12651
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080134
—
NH
01
—
P00228882
RR MEDICARE
NH
Enumeration date
03/17/2006
Last updated
04/30/2014
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