Anderson, Mary

Anderson, Mary is an individual health care provider with primary practice located at 23 Stiles Rd Ste 102 Att: Christine Vallante, Salem NH 03079-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Anderson, Mary can be contacted via phone (603) 893-4352.

Contact Information

Primary practice address
23 Stiles Rd Ste 102 Att: Christine Vallante Salem NH 03079-2853
Phone: (603) 893-4352
Fax: (603) 894-4522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 54360 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10841 New Hampshire

Profile Details

NPI number 1346234192
LBN Legal business name Anderson, Mary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Sep 6th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346234192 NPPES
New Hampshire MEDICAID 30200654
New Hampshire MEDICAID 3024211

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