Provider Demographics
NPI:1639148844
Name:SHARPE, JOHN RICHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:RICHARD
Last Name:SHARPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:41 BUTTRICK RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3367
Mailing Address - Country:US
Mailing Address - Phone:603-434-9666
Mailing Address - Fax:603-425-2973
Practice Address - Street 1:41 BUTTRICK RD
Practice Address - Street 2:SUITE 4
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3367
Practice Address - Country:US
Practice Address - Phone:603-434-9666
Practice Address - Fax:603-425-2973
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH6200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30207533Medicaid
NH82116974Medicaid
NHNH6974Medicare PIN
C65982Medicare UPIN
NH30207533Medicaid
NHNH697401Medicare PIN