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Individual

JOHN J FOTHERGILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
152 COLBY ST, COLEBROOK, NH 03576-3049
(603) 331-0500
(603) 237-8100
Mailing address
152 COLBY ST, COLEBROOK, NH 03576-3049
(603) 331-0500
(603) 237-8100

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7838
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00008076
BCBS OF VT
VT
01
0105409YPNH02
BCBS OF NH
NH
01
1012501
VT MEDICAID
VT
01
11819
MVP
NH
01
1533376
CIGNA
NH
05
30002405
NH
01
5225563
AETNA
NH
01
8001191
LADIES FIRST
VT
01
A66441
HARVARD PILGRIM
NH
01
NH9636
NHIC PROVIDER #
NH
Enumeration date
05/09/2006
Last updated
12/07/2017
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