Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 5507 | NH |
N | 207YS0123X | Facial Plastic Surgeon | 5507 | NH |
NPI | 1508880964 |
---|---|
Provider Name | Dr. John M O'day |
First Address | Somersworth, NH 03878-1407 |
Second Address | Somersworth, NH 03878-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
80004416 | (05) | NH |
B86104 | (02) | NH |
RE1991 | (02) | NH |