Individual
DR. IVAN K IP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MPH
Contact information
Practice address
172 KINSLEY ST, NASHUA, NH 03060-3648
(978) 312-4323
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-8719
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15576
NH
207R00000X
Internal Medicine Physician
Primary
250364
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020607
—
VT
05
—
32001419
—
NH
Enumeration date
06/12/2008
Last updated
07/27/2021
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