Individual
DR. EDMOND Y YEGANEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BORTHWICK AVE, SUITE 304, PORTSMOUTH, NH 03801-4174
(603) 431-3477
(603) 430-9663
Mailing address
330 BORTHWICK AVE, SUITE 304, PORTSMOUTH, NH 03801-4174
(603) 431-3477
(603) 430-9663
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5840
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30202280
—
NH
Enumeration date
02/14/2006
Last updated
05/11/2011
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