Individual
DANIEL R BOTSFORD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 QUEEN CITY AVE, ELLIOT NEUROLOGY ASSOCIATES, MANCHESTER, NH 03101-7100
(603) 669-0859
(603) 644-3391
Mailing address
185 QUEEN CITY AVE, ELLIOT NEUROLOGY ASSOCIATES, MANCHESTER, NH 03101-7100
(603) 669-0859
(603) 644-3391
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
6124
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81130402
—
NH
Enumeration date
11/29/2005
Last updated
04/13/2011
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