| Robert A. Theriault, D.o., Pllc | |
|
190 Broad St Ste 103 Nashua NH 03063-3147 | |
| (603) 578-9705 | |
| Not Available |
| Full Name | Robert A. Theriault, D.o., Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 190 Broad St Ste 103, Nashua, New Hampshire |
| Authorized Official Name and Position | Robert Theriault (PHYSICIAN) |
| Authorized Official Contact | 6038801511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Theriault, D.o., Pllc 190 Broad St Ste 103 Nashua NH 03063-3147 Ph: (603) 578-9705 | Robert A. Theriault, D.o., Pllc 190 Broad St Ste 103 Nashua NH 03063-3147 Ph: (603) 578-9705 |
| NPI Number | 1518082932 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 04/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518082932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9290 (New Hampshire) | Primary |
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