Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 18377 | NH |
N | 208D00000X | General Practice Physician | 18377 | NH |
NPI | 1376805317 |
---|---|
Provider Name | Dr. David Vargas Lowy |
First Address | Manchester, NH 03104-2201 |
Second Address | Manchester, NH 03104-2948 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2012 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3126548 | (05) | NH |