Individual
MR. ERIC VENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 RYE ST STE 125, PORTSMOUTH, NH 03801-6839
(603) 310-2200
(603) 610-2202
Mailing address
15 RYE ST STE 125, PORTSMOUTH, NH 03801-6839
(603) 310-2200
(603) 610-2202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2816
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y004169NH01
ANTHEM PROVIDER NUMBER
NH
01
—
542065286
TAX IDENTIFICATION NUMBER
NH
01
—
626470
HPHC PROVIDER NUMBER
NH
Enumeration date
01/04/2007
Last updated
12/14/2007
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