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Individual

JOHN NADER KALLIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
765 SOUTH MAIN STREET, SUITE 203, MANCHESTER, NH 03102
(603) 668-6444
(603) 668-6762
Mailing address
765 SOUTH MAIN STREET, SUITE 203, MANCHESTER, NH 03102
(603) 668-6444
(603) 668-6762

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7573
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30010246
NH
Enumeration date
11/14/2006
Last updated
07/08/2007
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