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Individual

ELIZABETH JANE SPATOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
166 KINSLEY ST STE 101, NASHUA, NH 03060-3676
(603) 881-7141
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
76053
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3071674
NH
Enumeration date
05/31/2006
Last updated
07/19/2022
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