Individual
JEFFREY HANISSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 SWIFTWATER ROAD, COTTAGE HOSPITAL, WOODSVILLE, NH 03785-2001
(603) 747-9000
(603) 747-0401
Mailing address
90 SWIFTWATER ROAD, COTTAGE HOSPITAL, WOODSVILLE, NH 03785-2001
(603) 747-9000
(603) 747-0401
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12602
NH
207R00000X
Internal Medicine Physician
Primary
12602
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y008509NH03
PROVIDER ID
NH
05
—
1011922
—
VT
05
—
30205497
—
NH
01
—
4146981
PROVIDER ID
NH
01
—
COTT0008186
PROVIDER ID
NH
Enumeration date
09/06/2006
Last updated
09/11/2025
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