Individual
DR. KNUT ROALSVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 TSIENNETO RD, SUITE 301, DERRY, NH 03038-1584
(603) 432-8802
(603) 432-7430
Mailing address
6 TSIENNETO RD, DERRY, NH 03038-1584
(603) 432-8802
(603) 432-7430
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
7923
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0442842
UNITED HEALTHCARE
NH
05
—
30002464
—
NH
01
—
716101
TUFTS
NH
01
—
7835426
AETNA
NH
Enumeration date
03/27/2006
Last updated
02/07/2013
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