Individual
ROBERT G SOUCY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9 OAKES RD, COLEBROOK, NH 03576-6117
(603) 237-5008
(281) 393-4203
Mailing address
9 OAKES RD, COLEBROOK, NH 03576-6117
(603) 237-5008
(281) 393-4203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8182
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000101
—
VT
01
—
0405411Y0NH02
ANTHEM NH
—
01
—
0405411Y0NH03
ANTHEM NH
—
01
—
21211
CIGNA
NH
05
—
30002940
—
NH
05
—
3094399
—
NH
01
—
341982
MVP
VT
01
—
80159325
RR MEDICARE
NH
01
—
8080
VTBLUE
—
01
—
A78574
TRICARE
—
Enumeration date
11/07/2005
Last updated
12/03/2019
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