Provider Demographics
NPI:1366480865
Name:REDFIELD, DOUGLAS (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:
Last Name:REDFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845614
Mailing Address - Street 2:CHESHIRE ANESTHESIA
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02284-5614
Mailing Address - Country:US
Mailing Address - Phone:800-720-1664
Mailing Address - Fax:207-753-2020
Practice Address - Street 1:580 COURT ST
Practice Address - Street 2:ANESTHESIA DEPT.
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-1715
Practice Address - Country:US
Practice Address - Phone:603-354-5454
Practice Address - Fax:603-354-5428
Is Sole Proprietor?:No
Enumeration Date:2006-06-04
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH7974207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
050031207OtherRAILROAD MEDICARE
NH30002597Medicaid
NHA16563Medicare UPIN
NHRERE0067Medicare PIN
NHAX4144Medicare PIN