Organization
ROBERT W. TILNEY III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT W TILNEY III M.D. (OWNER)
(603) 356-6770
Entity
Organization
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5111
(603) 356-6770
(603) 356-9314
Mailing address
PO BOX 2200, AMHERST, NH 03031-4200
(603) 673-9411
(603) 673-9899
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30210024
—
NH
01
—
5142
CIGNA HEALTHSOURCE
—
Enumeration date
07/30/2006
Last updated
08/22/2020
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