| Mark J Banister, MD | |
|
16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 | |
| (603) 536-1104 | |
| Not Available |
| Full Name | Mark J Banister |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 16 Hospital Road, Plymouth, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316955990 | NPI | - | NPPES |
| 0RE5597 | Medicaid | VT | |
| 10740 | Other | NH | STATE LICENSE |
| 3072661 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 10740 (New Hampshire) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Banister, MD Po Box 706, Plymouth, NH 03264-0706 Ph: (603) 481-8757 | Mark J Banister, MD 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 Ph: (603) 536-1104 |
Elizabeth Disney, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 16 Hospital Rd, Plymouth, NH 03264 Phone: 603-536-1104 Fax: 603-536-7260 | |
Joseph A Ebner, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 16 Hospital Road, Plymouth Ob/gyn, Plymouth, NH 03264 Phone: 603-536-1104 |