Individual
DR. GREGORY CHARLES FANARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
166 KINSLEY ST, NASHUA, NH 03060-3676
(603) 889-4131
(603) 889-6419
Mailing address
330 BORTHWICK AVE, SUITE 108, PORTSMOUTH, NH 03801-4174
(603) 436-4614
(603) 436-0377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD19307
RI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD19307
RI
207RP1001X
Pulmonary Disease Physician
Primary
5927
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3086993
—
NH
Enumeration date
12/23/2005
Last updated
05/09/2023
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