Grandgeorge, Steven Roy

Grandgeorge, Steven Roy is an individual health care provider with primary practice located at 100 Hitchcock Way , Manchester NH 03104-4125. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Allergy is his primary health care specialty. Grandgeorge, Steven Roy can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
100 Hitchcock Way Manchester NH 03104-4125
Fax: (603) 695-2562
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 6661 New Hampshire
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 6661 New Hampshire

Profile Details

NPI number 1841236130
LBN Legal business name Grandgeorge, Steven Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Sep 15th, 2011 - 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 1841236130 NPPES
New Hampshire MEDICAID 30001628

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