Individual
DR. PAUL E. HOLTZHEIMER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, 5TH FLOOR, LEBANON, NH 03756-1000
(603) 650-5508
Mailing address
1 MEDICAL CENTER DR, 5TH FLOOR, LEBANON, NH 03756-1000
(603) 650-5508
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
054899
GA
2084P0800X
Psychiatry Physician
Primary
15302
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054899
MEDICAL LICENSE #
GA
01
—
15302
MEDICAL LICENSE
NH
Enumeration date
08/11/2006
Last updated
05/11/2017
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