Individual
JIMMY R MANEKSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 MASCOMA STREET, ALICE PECK DAY MEMORIAL HOSPITAL, LEBANON, NH 03766
(603) 448-3121
Mailing address
PO BOX 260, ENFIELD, NH 03748-0260
(603) 632-9270
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
8909
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE2591
—
VT
05
—
30005716
—
NH
Enumeration date
06/30/2006
Last updated
02/13/2008
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