Individual
SUZANNE LARSON FETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8 PROSPECT ST, NICU, NASHUA, NH 03060-3925
(603) 577-2565
(603) 577-2084
Mailing address
8 PROSPECT ST, NICU, NASHUA, NH 03060-3925
(603) 577-2565
(603) 577-2084
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10820
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30201193
—
NH
Enumeration date
11/09/2006
Last updated
09/19/2007
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