Individual
MARY JEAN UHRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-9616
(603) 421-2451
Mailing address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-9616
(603) 421-2451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0150
NH
363A00000X
Physician Assistant
Primary
PA 721
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30334418
—
NH
Enumeration date
04/27/2006
Last updated
06/10/2013
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