Individual
DAVID R GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 CAMPUS DR STE 12, PORTSMOUTH, NH 03801-5892
(603) 422-8208
(603) 422-8218
Mailing address
311 ROUTE 108, BUSINESS OFFICE, SOMERSWORTH, NH 03878-1522
(603) 749-2346
(603) 953-0066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12177
ME
207Q00000X
Family Medicine Physician
Primary
7236
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239030099
—
ME
05
—
30001207
—
NH
Enumeration date
05/26/2006
Last updated
08/18/2021
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