Provider Demographics
NPI:1437260114
Name:ASSOCIATES IN EAR, NOSE AND THROAT OF GREATER NASHUA, PC
Entity type:Organization
Organization Name:ASSOCIATES IN EAR, NOSE AND THROAT OF GREATER NASHUA, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:DENNIS
Authorized Official - Last Name:DONOVAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-882-8923
Mailing Address - Street 1:17 RIVERSIDE ST
Mailing Address - Street 2:SUITE104
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1304
Mailing Address - Country:US
Mailing Address - Phone:603-882-8923
Mailing Address - Fax:603-882-3936
Practice Address - Street 1:17 RIVERSIDE ST
Practice Address - Street 2:SUITE104
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-1304
Practice Address - Country:US
Practice Address - Phone:603-882-8923
Practice Address - Fax:603-882-3936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7761207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH715999OtherTUFTS HEALTHCARE
NH0104967Y0NH01OtherBCBS
NH30003270Medicaid
NHHB5106OtherOXFORD
NH0464113OtherAETNA
NHB73115Medicare UPIN
NH0464113OtherAETNA
NH715999OtherTUFTS HEALTHCARE