Individual
FRED H RIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
172 KINSLEY ST, NASHUA, NH 03060-3648
(603) 882-3000
Mailing address
PO BOX 1849, LEWISTON, ME 04241-1849
(207) 784-2554
(207) 777-5363
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
6684
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300020293
RAILROAD MEDICARE ID
NH
05
—
81300861
—
NH
Enumeration date
02/01/2006
Last updated
10/03/2008
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