Basic Information
Provider Information
NPI: 1821544198
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MACLEOD
FirstName: DAVID
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 18 FOUNDRY ST STE 201
Address2:  
City: CONCORD
State: NH
PostalCode: 033015421
CountryCode: US
TelephoneNumber: 6032280071
FaxNumber: 6032277535
Practice Location
Address1: 18 FOUNDRY ST STE 201
Address2:  
City: CONCORD
State: NH
PostalCode: 033015421
CountryCode: US
TelephoneNumber: 6032280071
FaxNumber: 6032277535
Other Information
ProviderEnumerationDate: 08/28/2016
LastUpdateDate: 07/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/02/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X19596NHN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X19596NHY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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