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Individual

STEPHEN M GEMMETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19 OLD ROLLINSFORD RD, BUILDING B, DOVER, NH 03820-2807
(603) 516-4265
(603) 740-2173
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 516-4265
(603) 740-2713

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12061
NH
2086S0129X
Vascular Surgery Physician
Primary
12061
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1518928316
ME
05
3075234
NH
Enumeration date
03/31/2006
Last updated
06/18/2015
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