Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 1501 | ME |
N | 2080P0210X | Pediatric Nephrologist | 15535 | NH |
NPI | 1093743205 |
---|---|
Provider Name | Matthew M Hand |
First Address | Manchester, NH 03103-3502 |
Second Address | Manchester, NH 03103-3502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 04/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
297060099 | (05) | ME |
3079126 | (05) | NH |
G34071 | (02) | ME |