Individual provider · NPI-1

Justin Plaum, D.O.

Family Medicine · Windham, NH

NPI number1295179984
StatusActive
Last updated in NPPESAug 3, 2018

Details

NPI
1295179984
Entity type
Individual (NPI-1)
Name
Justin Plaum
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 24, 2013
Last updated
Aug 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOT015088PAYes

Practice location

49 Range Rd Ste 104
Windham, NH 03087

Phone 603-537-1300

Mailing address

6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417

Phone 603-537-1300

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