Provider Demographics
NPI:1528141835
Name:QUINTERO, NANCY (DO)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:QUINTERO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 ELM ST
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743
Mailing Address - Country:US
Mailing Address - Phone:603-543-6900
Mailing Address - Fax:603-542-9497
Practice Address - Street 1:241 ELM ST
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-2026
Practice Address - Country:US
Practice Address - Phone:603-543-6900
Practice Address - Fax:603-542-9497
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13984207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30226654Medicaid
VT1014998Medicaid
NH000534301Medicare PIN
PAG63535Medicare UPIN