Individual
DR. WAYNE L. GOLDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Mailing address
150 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
6509
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000080
—
NH
01
—
0104464Y0NH01
ANTHEM PROVIDER ID
NH
01
—
2194915
AETNA HMO
NH
01
—
4202355
AETNA NON-HMO
NH
Enumeration date
09/09/2005
Last updated
07/28/2010
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