Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | 13507 | NH |
NPI | 1184746240 |
---|---|
Provider Name | Anthony Vincent Mollano |
First Address | Concord, NH 03301-2551 |
Second Address | Concord, NH 03301-2551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 09/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30206836 | (05) | NH |