Organization
BRUCE J LEWIS M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE JAY LEWIS (M.D.)
(603) 542-7771
Entity
Organization
Contact information
Practice address
243 ELM ST, CLAREMONT, NH 03743-4921
(603) 542-7771
Mailing address
243 ELM ST, CLAREMONT, NH 03743-4921
(603) 542-7771
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5388
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000727
—
NH
01
—
0101366Y0NH01
ANTHEM N.H.
NH
Enumeration date
02/05/2007
Last updated
08/22/2020
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