Provider Demographics
NPI:1770549149
Name:BARRETT, THOMAS J (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:J
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:15 NELSON ST
Mailing Address - Street 2:ELLIOT OBSTETRICS AND GYNECOLOGY
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2706
Mailing Address - Country:US
Mailing Address - Phone:603-624-8491
Mailing Address - Fax:603-625-1622
Practice Address - Street 1:15 NELSON ST
Practice Address - Street 2:ELLIOT OBSTETRICS AND GYNECOLOGY
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2706
Practice Address - Country:US
Practice Address - Phone:603-624-8491
Practice Address - Fax:603-625-1622
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2011-04-25
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Provider Licenses
StateLicense IDTaxonomies
NH6529207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH82160341Medicaid
NH82160341Medicaid