Provider Demographics
NPI:1841248937
Name:YOUNG, HARRIET (MD)
Entity type:Individual
Prefix:
First Name:HARRIET
Middle Name:
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 KINSLEY ST.
Mailing Address - Street 2:ST. JOSEPH HOSPITAL- EMERGENCY DEPARTMENT
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-2013
Mailing Address - Country:US
Mailing Address - Phone:603-882-3000
Mailing Address - Fax:
Practice Address - Street 1:172 KINSLEY ST.
Practice Address - Street 2:ST. JOSEPH HOSPITAL- EMERGENCY DEPARTMENT
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03061-2013
Practice Address - Country:US
Practice Address - Phone:603-882-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA217218207P00000X
NH11981207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1841248937OtherANTHEM BCBS NH
NHP00835332OtherRAILROAD MEDICARE
NH1841248937OtherTRICARE
NH30203591Medicaid
NHRE732001Medicare PIN