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Individual

DR. PETER A MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5 ALICE PECK DAY DR, LEBANON, NH 03766-2901
(603) 448-3122
(603) 448-7491
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6471
NH
207QA0401X
Addiction Medicine (Family Medicine) Physician
6471
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00018136
BLUE CROSS BLUE SHIELD VT
NH
05
1000406
VT
05
3073507
NH
05
80183541
NH
01
C66677
HPHC
NH
01
MASO085556
ANTHEM
NH
Enumeration date
02/17/2006
Last updated
10/19/2023
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