Individual
ERNST M OIDTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
252 MECHANIC ST, LEBANON, NH 03766-2613
(603) 448-1941
(603) 448-6059
Mailing address
252 MECHANIC ST, LEBANON, NH 03766-2613
(603) 448-1941
(603) 448-6059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6030
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000458
—
NH
01
—
00006881
VT BLUE SHIELD
NH
01
—
8744837
CIGNA
NH
01
—
B86027
HARVARD PILGRIM
NH
Enumeration date
02/13/2007
Last updated
07/24/2007
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