Dr. Robert Theriault, D.O.
Family Medicine in Nashua, NH. Individual provider (NPI-1).
NPI number1073551982
StatusActive
Last updated in NPPESApr 19, 2016
Details
- NPI
- 1073551982
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert Theriault
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 3, 2006
- Last updated
- Apr 19, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9290 | NH | Yes |
Practice location
190 Broad St Ste 103Nashua, NH 03063-3147
Phone 603-880-1511 · Fax 603-880-8511
Mailing address
190 Broad St Ste 103Nashua, NH 03063-3147
Phone 603-880-1511 · Fax 603-880-8511
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