Individual
DR. MARK ALAN ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, NORRIS COTTON CANCER CENTER, LEBANON, NH 03756-1000
(603) 653-3611
Mailing address
1 MEDICAL CENTER DR, NORRIS COTTON CANCER CENTER, LEBANON, NH 03756-1000
(603) 653-3611
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11661
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009461
—
VT
01
—
11661
MEDICAL LICENSE
NH
05
—
30203422
—
NH
Enumeration date
07/04/2006
Last updated
07/20/2007
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