Provider Demographics
NPI:1851382451
Name:CAYER, PATRICIA E (MD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:E
Last Name:CAYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:BOUCHARD-CAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:275 MAMMOTH RD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03109-4133
Mailing Address - Country:US
Mailing Address - Phone:603-663-8350
Mailing Address - Fax:603-663-8399
Practice Address - Street 1:275 MAMMOTH RD
Practice Address - Street 2:SUITE #1
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4133
Practice Address - Country:US
Practice Address - Phone:603-663-8350
Practice Address - Fax:603-663-8399
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10043208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHHLO034OtherHPHC PIN
NH259712OtherCIGNA PIN
NH406440OtherTUFTS PIN
NH1240731OtherUHC PIN
NH20053YOtherANTHEM REFERRING RAN
NH949809OtherAETNA PIN
NH30010557Medicaid
NHP674372OtherOXFORD PIN
NHI01709Medicare UPIN
NH30010557Medicaid