Individual
MARY R DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22 WHITE ST, CONCORD, NH 03301-4176
(603) 225-0201
Mailing address
22 WHITE ST, CONCORD, NH 03301-4176
(603) 225-0201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14339
NH
207Q00000X
Family Medicine Physician
143684
NY
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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