Individual
CORISSA ANNE MCKALLAGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
50 FOX RUN RD, NEWINGTON, NH 03801-2851
(603) 828-9601
(603) 430-3076
Mailing address
PO BOX 4159, PORTSMOUTH, NH 03802-4159
(603) 828-9601
(603) 430-3076
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NH0844
NH
Other
Enumeration date
07/13/2010
Last updated
07/19/2010
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