Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 11788 | NH |
NPI | 1003880238 |
---|---|
Provider Name | Dr. Henry F. Pallatroni III |
First Address | Fpo, AP 96362-0002 |
Second Address | Portsmouth, NH 03801-4174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 27/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30205430 | (05) | NH |