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Individual

JANICE E GELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6040
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6040

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101250939
VA
208VP0014X
Interventional Pain Medicine Physician
0101250939
VA
208VP0014X
Interventional Pain Medicine Physician
Primary
16037
NH
208VP0014X
Interventional Pain Medicine Physician
LT-3249
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1009578
VT
Enumeration date
08/07/2006
Last updated
05/02/2013
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