Provider Demographics
NPI:1093743205
Name:HAND, MATTHEW M (DO)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
Last Name:HAND
Suffix:
Gender:M
Credentials:DO
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Other - Last Name:
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Mailing Address - Street 1:1 ELLIOT WAY
Mailing Address - Street 2:ELLIOT HOSPITAL - PEDIATRIC NEPHROLOGY
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3502
Mailing Address - Country:US
Mailing Address - Phone:603-669-5300
Mailing Address - Fax:
Practice Address - Street 1:1 ELLIOT WAY
Practice Address - Street 2:ELLIOT HOSPITAL - PEDIATRIC NEPHROLOGY
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3502
Practice Address - Country:US
Practice Address - Phone:603-669-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME15012080P0210X
NH155352080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3079126Medicaid
ME297060099Medicaid
ME297060099Medicaid
MEMM6477Medicare PIN
MEMM647701Medicare PIN