Individual
MAGED LOTFALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
580 COURT ST, KEENE, NH 03431-1718
(603) 354-5400
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1453
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54669
CT
207RN0300X
Nephrology Physician
Primary
23952
NH
208M00000X
Hospitalist Physician
54669
CT
Other
Enumeration date
01/15/2016
Last updated
07/19/2023
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