Individual
CRAIG P HOFSESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
590 COURT ST, KEENE, NH 03431
(603) 354-5400
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042.0011541
VT
207L00000X
Anesthesiology Physician
19646
NH
207L00000X
Anesthesiology Physician
240916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141338471
AETNA
NY
01
—
240916
LICENSE
NY
01
—
CH01622T10
EMPIRE BC
NY
01
—
P010240916
EXCELLUS
NY
Enumeration date
09/02/2006
Last updated
10/03/2019
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