Provider Demographics
NPI:1912018201
Name:CABOT, ANN CAMERON (DO)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:CAMERON
Last Name:CABOT
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 TARRYTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03103-2713
Mailing Address - Country:US
Mailing Address - Phone:603-663-4857
Mailing Address - Fax:603-663-4851
Practice Address - Street 1:130 TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-2713
Practice Address - Country:US
Practice Address - Phone:603-663-4857
Practice Address - Fax:603-663-4851
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH131952084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30226145Medicaid
VT1014688Medicaid
NHNX4575Medicare PIN
NHH68401Medicare UPIN
VT1014688Medicaid