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Contact Information

GARRETT T WASP, MD
ONE MEDICAL CENTER DR
HEMATOLOGY/ONCOLOGY
LEBANON, NH03756-0001
 Phone: 603-650-5529
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARRETT T WASP · (Male)

NPI # 1699119842
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2013
Last updated 09/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 17602
  • NH Medicaid 3117458
  • VT Medicaid 6701039
Hospital affiliation(s)
  • MARY HITCHCOCK MEMORIAL HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DRIVE
    LEBANON, NH 03756
  • MT ASCUTNEY HOSPITAL - (Critical Access)
    289 COUNTY ROAD
    WINDSOR, VT 05089
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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