Dr David Franklin Pruette, MD | |
212 Calef Hwy, Epping, NH 03042-2322 | |
(603) 693-2100 | |
(603) 697-1046 |
Full Name | Dr David Franklin Pruette |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 212 Calef Hwy, Epping, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477710176 | NPI | - | NPPES |
3080038 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15936 (New Hampshire) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
Mailing Address | Practice Location Address |
---|---|
Dr David Franklin Pruette, MD 7 Holland Way Fl 1, Exeter, NH 03833-2997 Ph: (603) 693-2100 | Dr David Franklin Pruette, MD 212 Calef Hwy, Epping, NH 03042-2322 Ph: (603) 693-2100 |
Tiffany Guglielmo-roxby, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-777-1895 | |
Thomas M Fitzgerald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-679-1046 | |
Oliver Salmon, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-777-1895 | |
Dr. Jennifer Lynn Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-679-1046 | |
Alexandra L Deblasio Bonesho, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-777-1895 | |
Daniel R Kyle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 212 Calef Hwy, Epping, NH 03042 Phone: 603-693-2100 Fax: 603-777-1895 |