Provider Demographics
NPI:1609810506
Name:CONNOR, DOUGLAS M (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:M
Last Name:CONNOR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:250 PLEASANT ST
Mailing Address - Street 2:EMERGENCY DEPT
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7539
Mailing Address - Country:US
Mailing Address - Phone:603-227-7000
Mailing Address - Fax:603-230-7218
Practice Address - Street 1:250 PLEASANT ST
Practice Address - Street 2:ER DEPT
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7539
Practice Address - Country:US
Practice Address - Phone:603-225-7000
Practice Address - Fax:603-230-7218
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
NH7833207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30003089Medicaid
NHRE0892Medicare ID - Type Unspecified
A79102Medicare UPIN