Provider Demographics
NPI:1235232455
Name:BELLIVEAU, PAUL FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:FREDERICK
Last Name:BELLIVEAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9 HAMPTON RD UNIT 2
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4807
Mailing Address - Country:US
Mailing Address - Phone:603-778-0505
Mailing Address - Fax:603-772-6761
Practice Address - Street 1:9 HAMPTON RD STE 2
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4807
Practice Address - Country:US
Practice Address - Phone:602-778-0505
Practice Address - Fax:603-772-6761
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2022-05-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH105772084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE4250Medicaid
NHRE4250Medicaid