Provider Demographics
NPI:1235247313
Name:MACDONALD, HUGH V (MD)
Entity Type:Individual
Prefix:
First Name:HUGH
Middle Name:V
Last Name:MACDONALD
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 1:789 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-659-0901
Mailing Address - Fax:603-659-0906
Practice Address - Street 1:60 EXETER RD
Practice Address - Street 2:UNIT 300
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857
Practice Address - Country:US
Practice Address - Phone:603-659-0901
Practice Address - Fax:603-659-0906
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMD18115207Q00000X
NH13349207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1235247313Medicaid
NHP00437977OtherMEDICARE RR
NH3075389Medicaid
H10296Medicare UPIN
NHRE898001Medicare PIN