Provider Demographics
NPI:1629959762
Name:MCDONALD, ANTHONY JOSEPH III
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:MCDONALD
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:STODDARD
Mailing Address - State:NH
Mailing Address - Zip Code:03464-0294
Mailing Address - Country:US
Mailing Address - Phone:603-258-1192
Mailing Address - Fax:
Practice Address - Street 1:150 WHITNEY RD
Practice Address - Street 2:
Practice Address - City:STODDARD
Practice Address - State:NH
Practice Address - Zip Code:03464-4637
Practice Address - Country:US
Practice Address - Phone:603-258-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty