Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 04325 | NH |
Y | 213EG0000X | General Practice | 04325 | NH |
NPI | 1003337288 |
---|---|
Provider Name | Dr. Timothy Stephen Ahern |
First Address | Exeter, NH 03833-4891 |
Second Address | Exeter, NH 03833-4891 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2017 |
Last Update Date | 28/06/2017 |