Individual
ADAM S TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Mailing address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 524-3211
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10733
NH
207P00000X
Emergency Medicine Physician
212721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107189Y0NH01
ANTHEM
NH
05
—
2029944
—
MA
05
—
30201835
—
NH
01
—
9073218
CIGNA
NH
01
—
J27036
BLUE SHIELD
MA
Enumeration date
06/08/2006
Last updated
05/08/2008
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