Individual
MAYNARD K PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PLEASANT ST, SUITE 6073, CONCORD, NH 03301-7539
(603) 227-7000
(603) 227-7191
Mailing address
250 PLEASANT ST, SUITE 6073, CONCORD, NH 03301-7539
(603) 227-7000
(603) 227-7191
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12219
NH
208M00000X
Hospitalist Physician
Primary
12219
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1473C
BLUECROSS BLUESHIELD
NC
05
—
30204363
—
NH
05
—
5908841
—
NC
01
—
812443
BLUE MEDICARE
NC
01
—
P00479038
RAILROAD MEDICARE
NC
Enumeration date
08/01/2006
Last updated
04/19/2017
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