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Individual

MRS. STACIE LYNNE UMPEROVITCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
14 ARMORY RD, DARTMOUTH HITCHCOCK - FAMILY MEDICINE, MILFORD, NH 03055-3405
(603) 673-2515
Mailing address
14 ARMORY RD, DARTMOUTH HITCHCOCK - FAMILY MEDICINE, MILFORD, NH 03055-3405
(603) 673-2515

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1117037
NH

Other

Enumeration date
05/28/2014
Last updated
09/07/2016
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