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SUZANNE DAVEY SHIPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
141 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3996
(603) 448-6863
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10266
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00069162
BCBS VERMONT
VT
05
1012312
VT
05
30011449
NH
01
3036161
CIGNA
NH
01
796675
MVP
NH
01
AA52429
HARVARD PILGRIM
NH
Enumeration date
05/17/2006
Last updated
04/08/2013
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