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NPI 1437797685 · live from the CMS NPI Registry

Mark S Bilodeau, PA-C

Physician Assistant in Lebanon, NH. National Provider Identifier 1437797685, active.

NPI record

NPI1437797685 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location1 Medical Center Dr, Lebanon, NH 03756
Practice phone603-650-3540
Mailing addressOne Medical Center Drive, Lebanon, NH 03756
EnumeratedDecember 18, 2019
Last updatedJanuary 16, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X1601 (NH)
Student in an Organized Health Care Education/Training Program390200000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.