Provider Demographics
NPI:1457315426
Name:BETTI, JAMES ALAN (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALAN
Last Name:BETTI
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 1:218 WALLIS RD
Mailing Address - Street 2:
Mailing Address - City:RYE
Mailing Address - State:NH
Mailing Address - Zip Code:03870-2248
Mailing Address - Country:US
Mailing Address - Phone:603-433-6569
Mailing Address - Fax:
Practice Address - Street 1:17 OLD ROLLINSFORD RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2833
Practice Address - Country:US
Practice Address - Phone:603-742-5011
Practice Address - Fax:603-742-3530
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8379174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0092302OtherCIGNA
ME278310099Medicaid
NH0104906Y0NH01OtherBC/BS
NH80001162Medicaid
NH5318043OtherAETNA
NH344490600OtherMARTIN'S POINT
NHE68459OtherHARVARD PILGRIM
ME278310099Medicaid
NH0092302OtherCIGNA
NHE68459OtherHARVARD PILGRIM