Provider Demographics
NPI:1376782789
Name:DUHAIME, MARC PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:PAUL
Last Name:DUHAIME
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1650 ELM ST STE 302
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03101-1217
Mailing Address - Country:US
Mailing Address - Phone:603-782-3460
Mailing Address - Fax:603-232-6629
Practice Address - Street 1:1650 ELM ST STE 302
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03101-1217
Practice Address - Country:US
Practice Address - Phone:603-782-3460
Practice Address - Fax:603-232-6629
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH14495207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3071409Medicaid
NH001372002Medicare PIN