Provider Demographics
NPI:1952456014
Name:FERRELL, HENRY HASKINS III (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:HASKINS
Last Name:FERRELL
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 PARK AVENUE
Mailing Address - Street 2:UNIT 6 1
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842
Mailing Address - Country:US
Mailing Address - Phone:603-926-3100
Mailing Address - Fax:603-926-5090
Practice Address - Street 1:1 PARK AVENUE
Practice Address - Street 2:UNIT 6 1
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842
Practice Address - Country:US
Practice Address - Phone:603-926-3100
Practice Address - Fax:603-926-5090
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2008-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH6945208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH34589901OtherANTHEM BCBS
NH00000062Medicaid
NHRE1837Medicare ID - Type Unspecified
NH00000062Medicaid