Provider Demographics
NPI:1902876659
Name:DUYMAZLAR, HASAN (DO)
Entity type:Individual
Prefix:
First Name:HASAN
Middle Name:
Last Name:DUYMAZLAR
Suffix:
Gender:M
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:P O BOX 912
Mailing Address - Street 2:HUGGINS HOSPITAL
Mailing Address - City:WOLFEBORO
Mailing Address - State:NH
Mailing Address - Zip Code:03894-0912
Mailing Address - Country:US
Mailing Address - Phone:603-569-7500
Mailing Address - Fax:603-569-7509
Practice Address - Street 1:240 SOUTH MAIN STREET
Practice Address - Street 2:HUGGINS HOSPITAL
Practice Address - City:WOLFEBORO
Practice Address - State:NH
Practice Address - Zip Code:03894-4411
Practice Address - Country:US
Practice Address - Phone:603-569-7500
Practice Address - Fax:603-569-7509
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH11269207Q00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3412808OtherAETNA
NH30221389Medicaid
NH8136845OtherCIGNA
NH04YP03190NH01OtherANTHEM
NH383806OtherMVP
NHNH2281OtherHARVARD PILGRIM HLTHCARE
NH8136845OtherCIGNA
NH3412808OtherAETNA