Provider Demographics
NPI:1033151154
Name:BENOIT, EDWARD G (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:G
Last Name:BENOIT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:60 COMMERCIAL ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5071
Mailing Address - Country:US
Mailing Address - Phone:603-228-7555
Mailing Address - Fax:603-227-7529
Practice Address - Street 1:60 COMMERCIAL ST
Practice Address - Street 2:SUITE 401
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5071
Practice Address - Country:US
Practice Address - Phone:603-228-7555
Practice Address - Fax:603-227-7529
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2016-04-12
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Provider Licenses
StateLicense IDTaxonomies
NH7144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHF17626Medicare UPIN