Individual
ELIZA A DEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 527-2970
(603) 527-2874
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
9599
NH
207RP1001X
Pulmonary Disease Physician
9599
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108215Y0NH01
ANTHEM
NH
05
—
3078709
—
NH
01
—
3488956
AETNA
NH
01
—
383803
MVP
NH
01
—
537041
CIGNA
NH
01
—
F04355
HARVARD PILGRIM HLTHCARE
NH
Enumeration date
01/26/2006
Last updated
10/12/2021
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