Provider Demographics
NPI:1487745782
Name:PRINGLE, WARREN MAURICE (MD)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:MAURICE
Last Name:PRINGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:STE 303
Mailing Address - City:PORTSMOOTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-431-5205
Mailing Address - Fax:603-436-4257
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:STE 303
Practice Address - City:PORTSMOOTH
Practice Address - State:NH
Practice Address - Zip Code:03801
Practice Address - Country:US
Practice Address - Phone:603-431-5205
Practice Address - Fax:603-436-4257
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHNH5039207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81074000Medicaid
NHNH4000Medicare ID - Type Unspecified
NH81074000Medicaid