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Contact Information

STEPHEN D SURGENOR, MD
1 MEDICAL CENTER DR
DHMC - DEPARTMENT OF ANESTHESIOLOGY
LEBANON, NH03756-1000
 Phone: 603-650-4642
 Fax: 603-650-0614
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for STEPHEN D SURGENOR · (Male)

NPI Number 1194740233
Status Active
Credentials MD
Entity Individual
Enumeration date 07/12/2006
Last updated 08/12/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 9909
  • NH Medicaid 30200040
  • VT Medicaid 0RE5053
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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