Provider Demographics
NPI:1497794036
Name:LUNDQUIST, PETER DOW (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:DOW
Last Name:LUNDQUIST
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 1:5 DOW JONES AVE
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3089
Mailing Address - Country:US
Mailing Address - Phone:603-889-3667
Mailing Address - Fax:603-886-1805
Practice Address - Street 1:5 DOW JONES AVE
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3089
Practice Address - Country:US
Practice Address - Phone:603-889-3667
Practice Address - Fax:603-886-1805
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2009-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9164207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30006769Medicaid
NH30006769Medicaid
RE3134Medicare PIN