Individual
CHRISTINE RITA MEDORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
45 LYME RD, SUITE 104, HANOVER, NH 03755-1219
(603) 643-3320
(603) 643-3301
Mailing address
45 LYME RD STE 104, HANOVER, NH 03755-1220
(603) 643-3320
(603) 650-0916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12968
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011969
—
VT
05
—
30205501
—
NH
Enumeration date
08/31/2006
Last updated
06/14/2021
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