Fudge, Mary L
Fudge, Mary L is an sole proprietor health care provider with primary practice located at 3 Alumni Dr Ste 301 , Exeter NH 03833-2123. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Fudge, Mary L can be contacted via phone (603) 775-7405.Contact Information
Primary practice address
3 Alumni Dr Ste 301
Exeter NH 03833-2123
Phone: (603) 775-7405
Fax: (603) 775-7424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 14621 | New Hampshire |
Profile Details
| NPI number | 1962583047 |
|---|---|
| LBN Legal business name | Fudge, Mary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Nov 2nd, 2021 - about 4 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 | 1962583047 | NPPES |
| New Hampshire | MEDICAID | 3074322 |
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