Individual
DR. BENJAMIN BENTLEY FAITELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 TSIENNETO RD STE 100LL, DERRY, NH 03038-1584
(603) 883-4636
(603) 883-6854
Mailing address
105 HAWTHORNE VILLAGE RD, NASHUA, NH 03062-2277
(603) 888-4664
(603) 888-4664
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10863
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001601
—
NH
Enumeration date
01/05/2006
Last updated
03/28/2022
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