Provider Demographics
NPI:1912031998
Name:THURBER, A EDWARD III (ABO, NCLE)
Entity Type:Individual
Prefix:MR
First Name:A
Middle Name:EDWARD
Last Name:THURBER
Suffix:III
Gender:M
Credentials:ABO, NCLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 HOOKSETT RD
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1006
Mailing Address - Country:US
Mailing Address - Phone:603-626-3937
Mailing Address - Fax:603-626-0800
Practice Address - Street 1:1150 HOOKSETT RD
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1006
Practice Address - Country:US
Practice Address - Phone:603-626-3937
Practice Address - Fax:603-626-0800
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician