Individual
ANDRE A D'HEMECOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3502
(603) 228-1104
(603) 228-7061
Mailing address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3502
(603) 228-1104
(603) 228-7061
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
6873
NH
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
6873
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000648
—
NH
01
—
0105185Y0NH01
ANTHEM NH
NH
01
—
180026676
RAILROAD MEDICARE
NH
01
—
5920277001
CIGNA
NH
Enumeration date
09/01/2005
Last updated
08/16/2017
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