Provider Demographics
NPI:1003880238
Name:PALLATRONI, HENRY F III (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:F
Last Name:PALLATRONI
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PSC 482 BOX 169
Mailing Address - Street 2:
Mailing Address - City:FPO
Mailing Address - State:AP
Mailing Address - Zip Code:96362-0002
Mailing Address - Country:US
Mailing Address - Phone:611-743-7210
Mailing Address - Fax:
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-433-4666
Practice Address - Fax:603-433-1338
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11788207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30205430Medicaid
NH30205430Medicaid
NHP00681581Medicare PIN