Individual
DR. THOMAS J ANTISDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44 BIRCH ST, STE 200, DERRY, NH 03038-2752
(603) 421-2526
(603) 421-2568
Mailing address
44 BIRCH ST, STE 200, DERRY, NH 03038-2752
(603) 421-2526
(603) 421-2568
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6965
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3078313
—
NH
Enumeration date
04/25/2006
Last updated
04/21/2017
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