Provider Demographics
NPI:1447232343
Name:GAIRE, SUSAN ROSE (MD FACOG)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:ROSE
Last Name:GAIRE
Suffix:
Gender:F
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WHITEHALL RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867
Mailing Address - Country:US
Mailing Address - Phone:603-335-6988
Mailing Address - Fax:603-335-6802
Practice Address - Street 1:235 ROCHESTER HILL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-1775
Practice Address - Country:US
Practice Address - Phone:603-335-6988
Practice Address - Fax:603-335-6802
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11909207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
01Y003924NH02OtherANTHEM
AA53456OtherHARVARD PILGRIM HLTHCARE
1192458OtherAETNA
389932OtherMVP
NH30205866Medicaid
ME306230099Medicaid
6207751OtherCIGNA
1192458OtherAETNA
AA53456OtherHARVARD PILGRIM HLTHCARE