Provider Demographics
NPI:1265559157
Name:DRUKTEINIS, ALBERT M (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:M
Last Name:DRUKTEINIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1750 ELM ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2907
Mailing Address - Country:US
Mailing Address - Phone:603-668-6436
Mailing Address - Fax:603-668-4226
Practice Address - Street 1:1750 ELM ST
Practice Address - Street 2:SUITE 601
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2907
Practice Address - Country:US
Practice Address - Phone:603-668-6436
Practice Address - Fax:603-668-4226
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH55052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81264138Medicaid
NH81264138Medicaid