Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 064-0491 | NH |
NPI | 1669501391 |
---|---|
Provider Name | Paul Loch |
First Address | Exeter, NH 03833-2134 |
Second Address | Exeter, NH 03833-2134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 08/07/2007 |