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Individual

DR. PETER VAN DER MEER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 668-7096
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6768
(603) 627-1661
(603) 669-6944

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
11295
NH
2085R0202X
Diagnostic Radiology Physician
Primary
11295
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01Y003178 NH05
ANTHEM - MCH TAX ID
NH
01
01Y003178NH02
BLUE CROSS
NH
01
205353
TUFTS
NH
01
294667
CIGNA
NH
01
300118268
RAILROAD MEDICARE
NH
05
30201475
NH
01
7762134
AETNA
NH
Enumeration date
04/17/2006
Last updated
09/14/2023
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