Provider Demographics
NPI:1639391899
Name:BLEEZARDE, PEGGY JEAN (MD)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:JEAN
Last Name:BLEEZARDE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BRANT DR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-3300
Mailing Address - Country:US
Mailing Address - Phone:603-562-7207
Mailing Address - Fax:
Practice Address - Street 1:297 DANIEL WEBSTER HWY STE 4
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4451
Practice Address - Country:US
Practice Address - Phone:603-883-3550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10137207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology