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Individual

DR. STEVEN H KAITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
48 GLASS ST, PEMBROKE, NH 03275-1506
(603) 485-7788
Mailing address
48 GLASS ST, PEMBROKE, NH 03275-1506
(603) 485-7788

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7616
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0105530YPNH01
ANTHEM
NH
05
40002830
NH
Enumeration date
08/17/2006
Last updated
10/25/2011
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