Provider Demographics
NPI:1922032671
Name:ESS, HENRY JJ (DO)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:JJ
Last Name:ESS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:ONE ELLIOT WAY
Mailing Address - Street 2:HOSPITALIST PROGRAM-ELLIOT HOSPITAL
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103
Mailing Address - Country:US
Mailing Address - Phone:603-663-2271
Mailing Address - Fax:603-663-2273
Practice Address - Street 1:ONE ELLIOT WAY
Practice Address - Street 2:HOSPITALIST PROGRAM-ELLIOT HOSPITAL
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103
Practice Address - Country:US
Practice Address - Phone:603-663-2271
Practice Address - Fax:603-663-2273
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH13096207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30224371Medicaid
NHRE8717Medicare PIN