Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 12814 | NH |
N | 207V00000X | Obstetrician & Gynecologist | 12814 | NH |
Y | 207VE0102X | Reproductive Endocrinologist | 12814 | NH |
NPI | 1255356309 |
---|---|
Provider Name | Dr. Richard Henry Reindollar |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2006 |
Last Update Date | 20/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A58535 | (02) | NH |