Individual
HOMAYOUN LEON DANESCHVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MEMBERS WAY, STE 300, DOVER, NH 03820-5933
(603) 742-7222
(603) 740-7441
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-7222
(603) 740-7441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12736
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30205669
—
NH
05
—
432079299
—
ME
Enumeration date
10/19/2006
Last updated
10/31/2012
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