Provider Demographics
NPI:1609059393
Name:GAW, WILLIAM HERBERT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:HERBERT
Last Name:GAW
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3 ALUMNI DR STE 401
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2123
Mailing Address - Country:US
Mailing Address - Phone:603-778-0557
Mailing Address - Fax:603-778-1669
Practice Address - Street 1:3 ALUMNI DR STE 401
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2123
Practice Address - Country:US
Practice Address - Phone:603-778-0557
Practice Address - Fax:603-778-1669
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-17
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH6167207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH00000073Medicaid
NHE09917Medicare UPIN