Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 8253 | NH |
NPI | 1467486910 |
---|---|
Provider Name | Stephen J Fox |
First Address | Concord, NH 03301-2551 |
Second Address | Concord, NH 03301-2551 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30003319 | (05) | NH |
C62086 | (02) |