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Individual

STEPHEN R. LOOSIGIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1 ELLIOT WAY, HOSPITALIST PROGRAM - ELLIOT HOSPITAL, MANCHESTER, NH 03103-3502
(603) 663-2271
(603) 663-2273
Mailing address
1 ELLIOT WAY, HOSPITALIST PROGRAM - ELLIOT HOSPITAL, MANCHESTER, NH 03103-3502
(603) 663-2271
(603) 663-2273

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11378
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011378
TUFTS PIN
NH
01
0407214
UNITED HC
NH
01
04Y003749NH02
ANTHEM ACES #
NH
05
30221909
NH
01
3206862
AETNA PIN
NH
01
579603
CIGNA PIN
NH
01
692665
HPHC
NH
01
H60544
ANTHEM REFERRING UPIN
NH
01
P00014352
RR MEDICARE
NH
Enumeration date
03/17/2006
Last updated
02/06/2009
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