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Individual

MARY A. BERUBE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
52 HIGH ST, NEW BOSTON, NH 03070-4027
(603) 487-3429
(603) 487-2103
Mailing address
52 HIGH ST, NEW BOSTON, NH 03070-4027
(603) 487-3429
(603) 487-2103

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
011346-23-05
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011346
TUFTS PIN
NH
01
0408373
UHC PIN
NH
05
30003642
NH
01
41816
CIGNA PIN
NH
01
AA6677
HPHC PIN
NH
01
R74572
ANTHEM REFERRING UPIN
NH
Enumeration date
10/31/2005
Last updated
07/09/2007
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