Individual
MALATHY T SUNDARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
60 ROCHESTER HILL RD STE 7, ROCHESTER, NH 03867-3235
(207) 850-1079
(207) 324-0911
Mailing address
60 ROCHESTER HILL RD STE 7, ROCHESTER, NH 03867-3235
(207) 850-1079
(207) 324-0911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13607
NH
207QG0300X
Geriatric Medicine (Family Medicine) Physician
13607
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
262401188
—
ME
Enumeration date
05/17/2006
Last updated
08/30/2019
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