Provider Demographics
NPI:1659366193
Name:KESLER, BRANKO S (MD)
Entity Type:Individual
Prefix:
First Name:BRANKO
Middle Name:S
Last Name:KESLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-7972
Practice Address - Street 1:10 PROSPECT ST STE 401
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-886-0290
Practice Address - Fax:603-577-3228
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH19729207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA976187OtherNETWORK HEALTH
MA151420OtherTUFTS
MA23739OtherHARVARD PILGRIM
MA2806205OtherAETNA
MA65200OtherFALLON
MAJ24232OtherBCBS
MAPI12041171OtherMULTIPLAN
MA0001787OtherNEIGHBORHOOD HEALTH PLAN
MA0156451Medicaid
NY02551022Medicaid
NY02551022Medicaid
290014123Medicare ID - Type UnspecifiedMR RAILROAD
NY02551022Medicaid