Manuel Iriondo
Dermatologist MOHS-Micrographic Surgeon
18 Old Etna Rd
Lebanon
, New Hampshire 03766-1937
Manuel Iriondo
Dermatologist MOHS-Micrographic Surgeon
18 Old Etna Rd
Lebanon
, New Hampshire 03766-1937
(603) 650-3100
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Manuel Iriondo
- 18 Old Etna Rd
- Lebanon, NH
- Zip : 03766-1937
- Phone : (603) 650-3100
Second Address
- Manuel Iriondo
- 18 Old Etna Rd
- Lebanon, NH
- Zip : 03766-1937
- Phone : (603) 650-3100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207N00000X | Dermatologist | ME51234 | FL |
| Y | 207ND0101X | MOHS-Micrographic Surgeon | 20971 | NH |
National Provider Identifier
| NPI | 1205917598 |
|---|---|
| Provider Name | Manuel Iriondo |
| First Address | Lebanon, NH 03766-1937 |
| Second Address | Lebanon, NH 03766-1937 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 14/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04074 | BC/BS (01) | FL |
| 270079400 | (05) | FL |
| D20874 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.