Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VE0102X | Reproductive Endocrinologist | 12001 | NH |
N | 207VG0400X | Gynecologist | 12001 | NH |
NPI | 1275550352 |
---|---|
Provider Name | Dr. Neal Gregory Mahutte |
First Address | Lebanon, NH 03766-2007 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1009835 | (05) | VT |
30203639 | (05) | NH |
H22245 | (02) | NH |