Individual
DA H LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2220
(603) 421-2223
Mailing address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2220
(603) 421-2223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11569
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y004212NH02
ANTHEM
NH
01
—
01Y004212NH03
ANTHEM
NH
05
—
2092671
—
MA
05
—
30202078
—
NH
01
—
436772
HARVARD PILGRIM
—
01
—
626159
HARVARD PILGRIM
—
01
—
7036649
AETNA
NH
01
—
P00200157
RAILROAD MEDICARE
—
Enumeration date
07/12/2006
Last updated
05/05/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us