Joan Crane Barthold, M.D.

Individual provider Active NPI Obstetrics & Gynecology Physician · Lebanon, NH

NPI 1215947650 · NPPES record last updated Aug 9, 2011

Key facts

NPI
1215947650
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
8149 (NH)
Practice address
1 Medical Center Dr
Lebanon, NH 03756-1000
Phone
(603) 653-9302
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8149NHMDObstetrics & Gynecology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8149 NH Yes

Addresses

Primary practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Mailing address

1 Medical Center Dr
DHMC Dept of OBGYN
Lebanon, NH 03756-1000
Phone (603) 653-9302

Other identifiers

IdentifierTypeStateIssuer
1002760MedicaidVT
30003081MedicaidNH

Other providers in Lebanon, NH

All providers in Lebanon, NH · Obstetrics & Gynecology Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.