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Organization

VALLEY RADIOLOGISTS, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID HASEMAN (PRESIDENT)
(802) 674-6711
Entity
Organization

Contact information

Practice address
243 ELM ST, CLAREMONT, NH 03743-4921
(603) 826-2911
Mailing address
243 ELM ST, CLAREMONT, NH 03743-4921
(603) 826-2911

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0003648
VT
01
303648
BCBS NH
NH
01
303648
MATHEW THORTON
05
81303648
NH
01
CB4628
RAILROAD MEDICARE
01
VALL00003648
BCBS VT
VT
Enumeration date
06/19/2006
Last updated
07/17/2007
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