Individual
DR. ETHAN DMITROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINE, LEBANON, NH 03756-1000
(603) 650-6345
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF MEDICINE, LEBANON, NH 03756-1000
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
10464
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5035
—
VT
05
—
30200062
—
NH
Enumeration date
09/20/2006
Last updated
07/22/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us