Provider Demographics
NPI:1396749065
Name:HARPER, PAUL J (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:HARPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1A COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3448
Mailing Address - Country:US
Mailing Address - Phone:603-434-1591
Mailing Address - Fax:603-434-4833
Practice Address - Street 1:1A COMMONS DR
Practice Address - Street 2:SUITE 5
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3448
Practice Address - Country:US
Practice Address - Phone:603-434-1591
Practice Address - Fax:603-434-4833
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4702208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH82023808Medicaid
NHNH3808Medicare ID - Type UnspecifiedMEDICARE
NHD03454Medicare UPIN