Basic Information
| Provider Information | |||||||||
| NPI: | 1508863093 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEL GIUDICE | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 88 MCGREGOR ST | ||||||||
| Address2: | STE 303 | ||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031023750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036479325 | ||||||||
| FaxNumber: | 6036472453 | ||||||||
| Practice Location | |||||||||
| Address1: | 88 MCGREGOR ST | ||||||||
| Address2: | STE 303 | ||||||||
| City: | MANCHESTER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 031023750 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036479325 | ||||||||
| FaxNumber: | 6036472453 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2005 | ||||||||
| LastUpdateDate: | 03/19/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 6573 | NH | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 81114223 | 05 | NH | MEDICAID |