Provider Demographics
NPI:1821095183
Name:EPSTEIN, ROGER M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROGER
Middle Name:M
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:STE 300
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7109
Mailing Address - Country:US
Mailing Address - Phone:603-433-2488
Mailing Address - Fax:603-433-4237
Practice Address - Street 1:21 CLARK WAY
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-4401
Practice Address - Country:US
Practice Address - Phone:603-692-2228
Practice Address - Fax:603-692-0418
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH6987207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30002417Medicaid
NH30002417Medicaid
NHNH969201Medicare PIN