| Doctor Name: | GERARD J HEVERN |
| NPI Number: | 1033108568 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 6043 |
| Business Practice Address: | 50 Pinewood Rd Allenstown, NH - 032752366 |
| Business Phone Number: | 6034857861 |
| Business Fax Number: | |
| Mailing Address: | Po Box 9001, SUNCOOK |
| State: | NH |
| Postal Code: | 032759001 |
| Phone Number: | 6034857861 |
| Fax Number: | 6034852437 |
| NPI Enumeration Date: | 10/18/2005 |
| NPI Last Update Date: | 09/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0401X |
| License Number: | 6043 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |