Individual
NIAZ MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 CENTRAL AVE STE 1, DOVER, NH 03820-2529
(603) 740-9713
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2020018960
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
22060
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3135647
—
NH
Enumeration date
05/22/2017
Last updated
10/17/2022
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