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Contact Information

STANISLAV SIDASH, MD
ONE MEDICAL CENTER DRIVE
ANESTHESIOLOGY
LEBANON, NH03756
 Phone: 603-650-5922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for STANISLAV SIDASH · (Male)

NPI Number 1790129435
Status Active
Credentials MD
Entity Individual
Enumeration date 04/24/2013
Last updated 06/28/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 271554
  • NH License # 17536
  • MA Medicaid 110126498A
  • NH Medicaid 3104528
  • VT Medicaid 1027544
Hospital affiliation(s)
  • MARY HITCHCOCK MEMORIAL HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DRIVE
    LEBANON, NH 03756
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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