Individual
DR. TENNISON MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6819
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
283138
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23944
NH
Other
Enumeration date
04/17/2014
Last updated
08/02/2023
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