Individual
MR. PETER GARFIELD SHACTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3 ALUMNI DR STE 101, EXETER, NH 03833-2122
(603) 773-9992
(603) 778-6393
Mailing address
4 ALUMNI DR, EXETER, NH 03833-2118
(603) 773-9992
(603) 778-6393
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0742
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311505
—
NH
Enumeration date
09/08/2005
Last updated
10/16/2025
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