Individual
MR. GEORGE T ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
25 BUTTRICK RD BLDG B, UNIT 4, LONDONDERRY, NH 03053-3352
(603) 425-0106
(603) 226-0845
Mailing address
246 PLEASANT STREET, SUITE 200, CONCORD, NH 03301-2548
(603) 226-0106
(603) 226-0845
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020504606
CIGNA
NH
05
—
1006572
—
VT
01
—
1209857Y0NH01
ANTHEM
NH
05
—
143190000
—
ME
05
—
30760132
—
NH
01
—
7628001
AETNA
NH
Enumeration date
09/20/2007
Last updated
03/18/2013
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