Individual
IGOR KATSENELENBOGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
89 NH ROUTE 25, MEREDITH, NH 03253-6314
(603) 279-4551
Mailing address
111 DIX ST, BRISTOL, NH 03222-5129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R1680
NH
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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