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KEVIN JON ROELOFS MD

Allergy

Portsmouth, New Hampshire

Provider NPI: 1982601084

Provider Information:
 KEVIN JON ROELOFS MD


Practice Location:
100 GRIFFIN RD UNIT A PORTSMOUTH, NH 03801 US
Tel: 603-436-7897  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207KA0200XPhysicians
Allergy & Immunology
Allergy
NH12404

Other Provider Identifiers:

IssuerNumberStateType
30204663NH05
ANTHEM NH ID #01Y007809NH01NH01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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