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Individual

HOLLY P. MINTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
275 MAMMOTH RD, SUITE #1, MANCHESTER, NH 03109-4133
(603) 663-8350
(603) 663-8399
Mailing address
275 MAMMOTH RD, SUITE #1, MANCHESTER, NH 03109-4133
(603) 663-8350
(603) 663-8399

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9778
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0107787YPNH01
ANTHEM ACES PIN
NH
01
1240728
UHC PIN
NH
01
20123Y
ANTHEM REFERRING RAN
NH
01
259711
CIGNA PIN
NH
05
30009797
NH
01
406453
TUFTS PIN
NH
01
585082
AETNA PIN
NH
01
HLO005
HPHC PIN
NH
01
P041216
OXFORD PIN
NH
Enumeration date
11/03/2005
Last updated
08/05/2015
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