Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | 8900 | NH |
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 8900 | NH |
NPI | 1912991159 |
---|---|
Provider Name | Dr. Powen Hsu |
First Address | Concord, NH 03301-2551 |
Second Address | Concord, NH 03301-2551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2005 |
Last Update Date | 30/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F08648 | (02) | NH |