Individual
CARL E TETIRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
251 ELM STREET, CLAREMONT, NH 03743
(603) 542-6777
(603) 542-6731
Mailing address
243 ELM STREET, CLAREMONT, NH 03743
(603) 542-6777
(603) 542-6731
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6455
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000192
—
NH
05
—
1000697
—
VT
Enumeration date
05/01/2006
Last updated
03/16/2012
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