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Contact Information

TENNISON MALCOLM
789 CENTRAL AVE
DOVER, NH03820-2526
 Phone: 603-609-6819
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for TENNISON MALCOLM · (Male)

NPI # 1447670468
Status Active
Credentials
Entity Individual
Enumeration date 04/17/2014
Last updated 08/02/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 283138
  • NH License # 23944
Hospital affiliation(s)
  • THE UNIVERSITY OF CHICAGO MEDICAL CENTER - (Acute Care)
    5841 SOUTH MARYLAND
    CHICAGO, IL 60637
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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