Individual
ANTHONY DAVID CHISMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 ALUMNI DR, STE 201, EXETER, NH 03833-2119
(603) 775-7405
(603) 775-7424
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 775-7405
(603) 775-7424
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13146
NH
208C00000X
Colon & Rectal Surgery Physician
Primary
13146
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30206138
—
NH
Enumeration date
08/08/2006
Last updated
02/22/2012
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