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Individual

DR. MARSHALL ANDERSON GUILL III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18 OLD ETNA RD, DH DEPT OF DERMATOLOGY, LEBANON, NH 03766
(603) 650-3100
(603) 650-3174
Mailing address
1 MEDICAL CENTER DR, DHMC DEPART OF MEDICINE/DERMATOLOGY, LEBANON, NH 03756-1000
(603) 650-5000

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14454
NH
207N00000X
Dermatology Physician
G16239
GA
207NS0135X
Procedural Dermatology Physician
14454
NH
207NS0135X
Procedural Dermatology Physician
GA16239
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070008491
RAILROAD MEDICARE
GA
05
1017229
VT
05
30209308
NH
Enumeration date
07/11/2006
Last updated
12/05/2012
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