Provider Demographics
NPI:1831357508
Name:LOESER, PETER C (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:LOESER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:194A PLEASANT ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2960
Mailing Address - Country:US
Mailing Address - Phone:603-856-8828
Mailing Address - Fax:603-856-8813
Practice Address - Street 1:194A PLEASANT ST STE 101
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2960
Practice Address - Country:US
Practice Address - Phone:603-856-8828
Practice Address - Fax:603-856-8813
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2023-03-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH11066207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3080119Medicaid
NH3080119Medicaid