Provider Demographics
NPI:1740523174
Name:BENEDICT, ALICE GILLESPIE HADDEN (DVM, DACVIM)
Entity type:Individual
Prefix:DR
First Name:ALICE
Middle Name:GILLESPIE HADDEN
Last Name:BENEDICT
Suffix:
Gender:F
Credentials:DVM, DACVIM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 COMMERCE WAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-3244
Mailing Address - Country:US
Mailing Address - Phone:603-533-0056
Mailing Address - Fax:603-433-0029
Practice Address - Street 1:215 COMMERCE WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-3244
Practice Address - Country:US
Practice Address - Phone:603-533-0056
Practice Address - Fax:603-433-0029
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2040174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian