Provider Demographics
NPI:1669587556
Name:KING, CYNTHIA G (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:G
Last Name:KING
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:250 PLEASANT ST
Mailing Address - Street 2:CRFHC
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7539
Mailing Address - Country:US
Mailing Address - Phone:603-228-7200
Mailing Address - Fax:603-228-7307
Practice Address - Street 1:250 PLEASANT ST
Practice Address - Street 2:CRFHC
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7539
Practice Address - Country:US
Practice Address - Phone:603-228-7200
Practice Address - Fax:603-228-7307
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NH13215207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1406351OtherAETNA INSURANCE
NH4557566OtherCIGNA INSURANCE
NHAA68495OtherHARVARD PILGRIM INSURANCE
NH30206185Medicaid
NH4149486OtherMVP HEALTHCARE
NH4149486OtherMVP HEALTHCARE
NHAA68495OtherHARVARD PILGRIM INSURANCE