Individual
DR. BRUCE HETTLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, SECTION OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-5724
Mailing address
1 MEDICAL CENTER DR, SECTION OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-5724
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
6732
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000302
—
NH
05
—
1000744
—
VT
Enumeration date
08/05/2006
Last updated
01/02/2015
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