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GUEORGUI D DIMOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6 HAMPTON RD, BLDG 3, EXETER, NH 03833-4854
(603) 775-0000
(603) 775-0247
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 775-0000
(603) 775-0247

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13621
NH
207Q00000X
Family Medicine Physician
EC05064
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30207038
NH
01
NONE
RESIDENT-NO PROV #
ME
Enumeration date
08/24/2006
Last updated
06/03/2010
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