Provider Demographics
NPI:1740279256
Name:STEIN, ALAN M (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:M
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9001
Mailing Address - Street 2:50 PINEWOOD RD
Mailing Address - City:SUNCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03275-9001
Mailing Address - Country:US
Mailing Address - Phone:603-485-7861
Mailing Address - Fax:603-485-2437
Practice Address - Street 1:50 PINEWOOD RD
Practice Address - Street 2:
Practice Address - City:ALLENSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03275-2366
Practice Address - Country:US
Practice Address - Phone:603-485-7861
Practice Address - Fax:603-485-2437
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH8139207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30002972Medicaid
E12411Medicare UPIN
NH30002972Medicaid