Individual
MARC GAUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, SECTION OF HEMATOLOGY/IONCOLOGY, LEBANON, NH 03756-1000
(603) 650-5529
(603) 650-5830
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5529
(603) 650-5830
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
042-0011049
VT
207RH0003X
Hematology & Oncology Physician
Primary
10784
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5405
—
VT
05
—
30200443
—
NH
Enumeration date
07/18/2006
Last updated
07/13/2011
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