Individual
CRISTI EGENOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 TSIENNETO RD, SUITE 100, DERRY, NH 03038
(603) 537-1300
(603) 434-3540
Mailing address
6 BUTTRICK RD, SUITE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12488
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01YP07954NH01
ANTHEM BCBS
NH
05
—
30204901
—
NH
01
—
3742083
AETNA USHC
NH
01
—
468068
TUFTS
NH
01
—
792596
MVP
NH
01
—
G73110
HARVARD
NH
Enumeration date
01/19/2006
Last updated
08/08/2018
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