Individual
VERCIN S EPHREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13040
NH
208M00000X
Hospitalist Physician
13040
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y018882NH01
ANTHEM
—
05
—
30206159
—
NH
01
—
396665
MVP
—
01
—
7773876
AETNA
—
01
—
9337315
CIGNA
—
01
—
AA65630
HARVARD
—
Enumeration date
07/15/2006
Last updated
08/16/2023
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