Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 10990 | NH |
NPI | 1023037579 |
---|---|
Provider Name | James G. Dinulos |
First Address | Portsmouth, NH 03801-4174 |
Second Address | Portsmouth, NH 03801-4174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 08/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H16910 | (02) |