Provider Demographics
NPI:1912115676
Name:FW DANBY, MD & LJ MARGESSON, MD, PA
Entity Type:Organization
Organization Name:FW DANBY, MD & LJ MARGESSON, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:F.
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:DANBY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-668-0858
Mailing Address - Street 1:721 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3002
Mailing Address - Country:US
Mailing Address - Phone:603-668-0858
Mailing Address - Fax:603-647-0017
Practice Address - Street 1:721 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3002
Practice Address - Country:US
Practice Address - Phone:603-668-0858
Practice Address - Fax:603-647-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010513Medicaid
NH30010512Medicaid
NH80004440Medicaid
NH30010513Medicaid
NH30010512Medicaid
NHG52200Medicare UPIN