Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | 13697 | NH |
N | 2080P0208X | Pediatric Infectious Diseases | MD08654 | TN |
NPI | 1205928629 |
---|---|
Provider Name | Peter F Wright |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2006 |
Last Update Date | 21/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1014445 | (05) | VT |
30207347 | (05) | NH |
B02649 | (02) |