Provider Demographics
NPI:1477504041
Name:CATHERWOOD, EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:CATHERWOOD
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 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC- CARDIOLOGY DEPARTMENT
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-7607
Mailing Address - Fax:603-650-0523
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC- CARDIOLOGY DEPARTMENT
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-7607
Practice Address - Fax:603-650-0523
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2011-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8118207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1002807Medicaid
NH30003147Medicaid
VTBX7111Medicare PIN
VT1002807Medicaid
NHBX3592Medicare PIN