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Individual

BARRY CHARLES GENDRON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
875 GREENLAND RD, SUITE C4, PORTSMOUTH, NH 03801-4164
(603) 431-5529
(603) 436-6603
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7690
(603) 569-7664

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
8932
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3074946
NH
Enumeration date
10/17/2006
Last updated
03/07/2024
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