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Contact Information

ERIC S LANDIS, MD
703 RIVERWAY PL
BEDFORD, NH03110-6768
 Phone: 603-668-7096
 Fax: 603-669-6944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Body Imaging

2085B0100X
Indicates primary specialty

NPI Profile & details for ERIC S LANDIS · (Male)

NPI # 1477518223
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 8990
  • NH Medicaid 30006019
  • NH Other 2200875 AETNA
  • NH Other 0109229Y0 NH06 ANTHEM MCH TAX ID
  • NH Other 0109229Y0NH03 BLUE CROSS
  • NH Other 2788 CIGNA
  • NH Other 300064319 RAILROAD MEDICARE
  • NH Other 008990 TUFTS
Hospital affiliation(s) Not Available
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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