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Individual

PETER S HEDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
750 CENTRAL AVENUE, SUITE N, DOVER, NH 03820-3434
(603) 749-2266
(603) 749-3019
Mailing address
750 CENTRAL AVENUE, SUITE N, DOVER, NH 03820-3434
(603) 749-2266
(603) 749-3019

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
15300
NH
208600000X
Surgery Physician
77020
MA
2086S0127X
Trauma Surgery Physician
Primary
15300
NH
2086S0127X
Trauma Surgery Physician
77020
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100248030A
OK
05
32000857
NH
Enumeration date
09/27/2006
Last updated
12/05/2011
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