Provider Demographics
NPI:1003369323
Name:HAMBARDZUMYAN, VACHE (MD)
Entity Type:Individual
Prefix:DR
First Name:VACHE
Middle Name:
Last Name:HAMBARDZUMYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 OLD STREET RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1216
Mailing Address - Country:US
Mailing Address - Phone:603-924-2144
Mailing Address - Fax:603-924-3993
Practice Address - Street 1:458 OLD STREET RD STE 200
Practice Address - Street 2:
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1216
Practice Address - Country:US
Practice Address - Phone:603-924-2144
Practice Address - Fax:603-924-3993
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP32690282N00000X
NH22367207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No282N00000XHospitalsGeneral Acute Care Hospital