Individual
DR. BETHANY A REUTEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116028920
VA
207RG0100X
Gastroenterology Physician
0101267093
VA
207RG0100X
Gastroenterology Physician
Primary
20354
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080095
—
NH
Enumeration date
05/20/2013
Last updated
10/21/2022
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