Shanon H Gruchot in Londonderry - Pediatrics

Shanon H Gruchot - NPI 1134192735

Shanon H Gruchot is a Pediatrics in Londonderry, New Hampshire. Shanon H Gruchot practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shanon H Gruchot is 1134192735. The last update date is 2010-09-22.

Shanon H Gruchot's current location address is 25 Buttrick Rd, Londonderry, New Hampshire. You can contact this provider via phone number 6034371003 and fax number 6034210868. The mailing address for Shanon H Gruchot is 25 Buttrick Rd, Londonderry, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Shanon H Gruchot
Address 25 Buttrick Rd, Londonderry, New Hampshire
Phone Number 6034371003
Fax Number 6034210868
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134192735
Provider Enumeration Date 2006-02-13
Last Updated Date 2010-09-22

Provider Mailing Address Detail

Address 25 Buttrick Rd
City Londonderry
State New Hampshire (NH)
Post Code 30533352
Phone Number 6034371003
Fax Number 6034210868

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 11312
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
30201731 NH --

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FAQs about Shanon H Gruchot

What is the unique 10-digit identifier code assigned to Shanon H Gruchot by the Centers for Medicare & Medicaid Services?

The Shanon H Gruchot has been issued the NPI (National Provider Identifier) 1134192735 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Shanon H Gruchot's facilities are situated?

The facilities of Shanon H Gruchot are physically located at the following address: 25 Buttrick Rd, Londonderry, NH, 30533352.

What is Shanon H Gruchot's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shanon H Gruchot is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1134192735 to Shanon H Gruchot?

The Centers for Medicare & Medicaid Services assigned the 1134192735 to Shanon H Gruchot on 2006-02-13.

As of what date were the details related to Shanon H Gruchot most recently updated or revised?

The information pertaining to Shanon H Gruchot, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-22.

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