Individual
JAMES S HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
154 BROAD ST, SUITE 1538, NASHUA, NH 03063-3239
(603) 889-4431
(603) 889-1572
Mailing address
21 FARLEY RD, HOLLIS, NH 03049-5916
(603) 889-2062
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
5692
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005692
TUFTS ID#
NH
01
—
0106484Y0NH01
BC/BS#
NH
01
—
11-04304
UNITED HEALTH ID#
NH
01
—
220013061
RAILRAOD MEDICARE
NH
05
—
30002352
—
NH
01
—
6382
CIGNA/HEATHSOURCE ID#
NH
01
—
783914
MVP INSURANCE
NH
Enumeration date
08/25/2005
Last updated
08/19/2015
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