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Individual

SUSANNE GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 MCGREGOR ST, EMERG DEPT, MANCHESTER, NH 03102-3730
(606) 663-6478
(603) 663-6645
Mailing address
100 MCGREGOR ST, EMERG DEPT, MANCHESTER, NH 03102-3730
(606) 663-6478
(603) 663-6645

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14870
NH
207P00000X
Emergency Medicine Physician
232584
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1124225206
ANTHEM BC BS NH
NH
05
30209646
NH
01
AA183520
HPHC
NH
01
P00858529
RAILROAD MEDICARE
NH
Enumeration date
07/02/2007
Last updated
11/17/2010
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