Provider Demographics
NPI:1255409504
Name:STANGER, REGAN RUTH (MD)
Entity type:Individual
Prefix:DR
First Name:REGAN
Middle Name:RUTH
Last Name:STANGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23 S MAIN ST
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-2075
Mailing Address - Country:US
Mailing Address - Phone:917-826-4587
Mailing Address - Fax:
Practice Address - Street 1:23 S MAIN ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2075
Practice Address - Country:US
Practice Address - Phone:603-277-9110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH176582084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry