Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 8189 | NH |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 8189 | NH |
NPI | 1144270216 |
---|---|
Provider Name | Andrew S Weeks |
First Address | Exeter, NH 03833-2997 |
Second Address | Exeter, NH 03833-2128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 24/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3076154 | (05) | NH |
E12429 | (02) |