Provider Demographics
NPI:1871529644
Name:MEADOWS, JOHN G (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:MEADOWS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:60 COMMERCIAL ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5071
Mailing Address - Country:US
Mailing Address - Phone:603-228-1763
Mailing Address - Fax:603-228-7088
Practice Address - Street 1:60 COMMERCIAL ST
Practice Address - Street 2:SUITE 404
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5071
Practice Address - Country:US
Practice Address - Phone:603-228-1763
Practice Address - Fax:603-228-7088
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NH6445207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81113200Medicaid
RE0004Medicare ID - Type Unspecified
NH81113200Medicaid