Individual
DR. WILLIAM J ENNIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-2598
(603) 789-9103
(603) 227-7832
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 789-9103
(603) 227-7832
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9150
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0109559Y0NH03
ANTHEM BCBS
NH
05
—
30006777
—
NH
01
—
8060319
CIGNA
NH
Enumeration date
09/16/2006
Last updated
09/26/2024
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