Provider Demographics
NPI:1275577702
Name:PRICE, WILLIAM RUSSELL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RUSSELL
Last Name:PRICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:W
Other - Middle Name:RUSSELL
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:17 RIVERSIDE ST
Mailing Address - Street 2:STE 101
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1373
Mailing Address - Country:US
Mailing Address - Phone:603-883-0091
Mailing Address - Fax:603-881-3739
Practice Address - Street 1:17 RIVERSIDE ST
Practice Address - Street 2:STE 101
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1373
Practice Address - Country:US
Practice Address - Phone:603-883-0091
Practice Address - Fax:603-881-3739
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8206207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1932256914OtherNPI, PROVIDER LOCATION
NHE30985OtherHARVARD PILGRIM PROVIDER#
NH0105116Y0NH01OtherANTHEM BCBS PROVIDER #
NH1801952692OtherNPI, PROVIDER LOCATION
NH1881772242OtherNPI, PROVIDER LOCATION
NH1922164797OtherNPI, PROVIDER LOCATION
NH9619239OtherCIGNA PROVIDER #
NH1841320207OtherNPI, PROVIDER LOCATION
NH1861558645OtherNPI, PROVIDER LOCATION
NH80000769Medicaid
NH80000769Medicaid
NH1861558645OtherNPI, PROVIDER LOCATION
NH0132510004Medicare NSC
RE0769Medicare PIN
NH0105116Y0NH01OtherANTHEM BCBS PROVIDER #
NH1932256914OtherNPI, PROVIDER LOCATION
NH0132510001Medicare NSC