Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 13179 | NH |
NPI | 1124054515 |
---|---|
Provider Name | Peter L Row |
First Address | Nashua, NH 03060-3648 |
Second Address | Nashua, NH 03060-3648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2006 |
Last Update Date | 05/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01Y010903NH01 | ANTHEM (01) | NH |
2122812 | (05) | MA |
30206147 | (05) | NH |
H62615 | (02) | |
P00370507 | RAILROAD MEDICARE (01) |