Chismark, Anthony David

Chismark, Anthony David is an individual health care provider with primary practice located at 3 Alumni Dr Ste 201, Exeter NH 03833-2119. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Chismark, Anthony David can be contacted via phone (603) 775-7405.

Contact Information

Primary practice address
3 Alumni Dr Ste 201 Exeter NH 03833-2119
Phone: (603) 775-7405
Fax: (603) 775-7424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 13146 New Hampshire
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 13146 New Hampshire

Profile Details

NPI number 1679583389
LBN Legal business name Chismark, Anthony David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Feb 22nd, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679583389 NPPES
New Hampshire MEDICAID 30206138

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