Individual
DR. BENEDICT GERALD HEIDERSCHEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 CAVERNO DR, LEE, NH 03861-6630
(603) 988-8128
(610) 340-9130
Mailing address
21 CAVERNO DR, LEE, NH 03861-6630
(603) 988-8128
(610) 340-9130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NH11501
NH
Other
Enumeration date
11/15/2006
Last updated
11/19/2009
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