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:
Health care specialties
Specialty | Code | License # | 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 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1346234192 | NPPES |
New Hampshire | MEDICAID | 30200654 | |
New Hampshire | MEDICAID | 3024211 |
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