Provider Demographics
NPI:1588759872
Name:TWORK, GRETCHEN ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:ELIZABETH
Last Name:TWORK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:ONE MEDICAL CENTER DRIVE
Mailing Address - Street 2:DEPARTMENT OF HOSPITAL MEDICINE
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-0001
Mailing Address - Country:US
Mailing Address - Phone:603-650-8380
Mailing Address - Fax:603-653-6110
Practice Address - Street 1:ONE MEDICAL CENTER DRIVE
Practice Address - Street 2:DEPARTMENT OF HOSPITAL MEDICINE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-0001
Practice Address - Country:US
Practice Address - Phone:603-650-8380
Practice Address - Fax:603-653-6110
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH12768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHI 33053Medicare UPIN