Provider Demographics
NPI:1679540165
Name:WILMOT, CLARE (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARE
Middle Name:
Last Name:WILMOT
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 1:580 SAINT JOHNSBURY RD STE K
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3439
Mailing Address - Country:US
Mailing Address - Phone:603-444-2010
Mailing Address - Fax:603-444-2181
Practice Address - Street 1:580 SAINT JOHNSBURY RD
Practice Address - Street 2:SUITE D
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561
Practice Address - Country:US
Practice Address - Phone:603-444-0997
Practice Address - Fax:603-444-6038
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9789208600000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH29072OtherCIGNA
VT1003089Medicaid
VT29171OtherBLUE CROSS/BLUE SHIELD
NHAA37642OtherHARVARD PILGRIM HEALTHCAR
NH3094267Medicaid
NH788823OtherMVP
NH80300008Medicaid
NH0100183Y0NH01OtherBLUE CROSS/BLUE SHIELD
NHAA55615OtherHARVARD PILGRIM