Provider Demographics
NPI:1710036348
Name:WILLIAM H. EDWARDS M.D. PC
Entity Type:Organization
Organization Name:WILLIAM H. EDWARDS M.D. PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-898-4269
Mailing Address - Street 1:45 STILES RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-4808
Mailing Address - Country:US
Mailing Address - Phone:603-898-4269
Mailing Address - Fax:603-894-4582
Practice Address - Street 1:45 STILES RD
Practice Address - Street 2:SUITE 101
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-4808
Practice Address - Country:US
Practice Address - Phone:603-898-4269
Practice Address - Fax:603-894-4582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH9575207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30213665Medicaid
NHRE3744Medicare ID - Type Unspecified
NH30213665Medicaid