Active NPIIndividual provider

Mark K Detweiler, MD

Specialist in Londonderry, New Hampshire

NPI Number1548344583
Practice location
1B Commons Dr, Unit 9A, Londonderry, NH 03053-3441
Fax
603-421-6899
Last updated
April 24, 2019

Mark Kenneth Detweiler is a Specialist based in Londonderry, NH. Mark Kenneth Detweiler practices in Londonderry, NH and has the professional credentials of MD. The NPI Number for Mark Kenneth Detweiler is 1548344583 and holds a License No. 6919 (NH). The current practice location address for Mark Kenneth Detweiler is 1B Commons Dr, Unit 9A, Londonderry, NH 03053-3441 and can be reached out via phone at 603-818-4712 and via fax at 603-421-6899.

Provider Profile Details

NPI Number
1548344583
Provider Name
Mark Kenneth Detweiler
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1B Commons Dr, Unit 9A, Londonderry, NH 03053-3441
Phone Number
603-818-4712
Fax Number
603-421-6899
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2006
Last Update Date
April 24, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1B Commons Dr
Unit 9A
Londonderry, NH 03053-3441
Zip
03053-3441
Phone Number
603-818-4712
Fax Number
603-421-6899
Londonderry, NH 03053Get directions →

Provider Business Mailing Address Details

Address
1B Commons Dr
Unit 9A
Londonderry, NH 03053-3441
City
Londonderry
State
NH
Zip
03053-3441
Phone Number
603-818-4712
Fax Number
603-421-6899

License Information

License Number (1)
6919
License State (1)
NH
Taxonomy (1)
Internal Medicine, Gastroenterology · 207RG0100X
License Number (2)
6919
License State (2)
NH
Taxonomy (2)
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark K Detweiler, MD?

The NPI number of Mark K Detweiler, MD is 1548344583. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark K Detweiler, MD?

Mark K Detweiler, MD is registered under the primary taxonomy Specialist (code 174400000X), licensed in NH under license number 6919.

Where does Mark K Detweiler, MD practice?

The practice location is 1B Commons Dr, Unit 9A, Londonderry, NH 03053-3441. The office can be reached at 603-818-4712 (phone) or 603-421-6899 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548344583 directly on the NPPES registry website.

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