| NPI Details | |
|---|---|
| NPI | 1396867685 |
| Gender | Female |
| Enumeration Date | 04/06/2007 |
| Last Updated | 11/14/2014 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 80 HIGHLAND ST LACONIA NH, 03246-3235, US |
|
| Phone | (603) 524-3211 |
| Fax | |
| Business Location | |
|---|---|
| PO BOX 1327 LACONIA NH, 03247-1327, US |
|
| Phone | (603) 524-3211 |
| Fax | (603) 527-7038 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 208M00000X |
| License State | New Hampshire |
| License Number | 13647 |
| Remove 1396867685 NPI Number | |
According to our database, Nino Usanetashvili MD NPI is 1396867685, taxonomy code is 208M00000X and license number is 13647, license state is located at New Hampshire. Nino Usanetashvili MD physically located at 80 Highland St, Laconia NH, 03246-3235. NPI Number Nino Usanetashvili MD has the Individual type.
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1396867685 NPI number is provided on an as is basis without warranty of any kind. 1396867685 is maintained by the National Plan & Provider Enumeration System. The contents of Nino Usanetashvili MD are for informational purposes only.
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