Individual
DR. ERIC S LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
8990
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008990
TUFTS
NH
01
—
0109229Y0 NH06
ANTHEM MCH TAX ID
NH
01
—
0109229Y0NH03
BLUE CROSS
NH
01
—
2200875
AETNA
NH
01
—
2788
CIGNA
NH
05
—
30006019
—
NH
01
—
300064319
RAILROAD MEDICARE
NH
Enumeration date
04/17/2006
Last updated
07/08/2007
Update your record
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