Individual
OLEG GERASIMOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP
Contact information
Practice address
281 N STATE ST, CONCORD, NH 03301-3227
(603) 271-7936
Mailing address
893 FRENCH POND RD, NORTH HAVERHILL, NH 03774-4728
(603) 243-0442
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
072141-23
NH
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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