Provider Demographics
NPI:1982696647
Name:MARKWITH, NEIL J (MD)
Entity Type:Individual
Prefix:
First Name:NEIL
Middle Name:J
Last Name:MARKWITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:445 CYPRESS ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-3600
Mailing Address - Country:US
Mailing Address - Phone:603-669-9450
Mailing Address - Fax:603-669-1858
Practice Address - Street 1:445 CYPRESS ST
Practice Address - Street 2:SUITE 6
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-3600
Practice Address - Country:US
Practice Address - Phone:603-669-9450
Practice Address - Fax:603-669-1858
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-18
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH5961207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH4964320012OtherCIGNA-NH
NHB86130OtherHARVARD
NH14840608OtherCHAMPUS
NH020505817 0001OtherCIGNA
NH40209527Medicaid
NH0004200383OtherAETNA
NH4964320012OtherCIGNA-NH
NHMANH6835Medicare ID - Type Unspecified