Individual
AMANDA BOUTRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 668-3545
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3770
(603) 668-3545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18307
NH
Other
Enumeration date
06/03/2014
Last updated
10/07/2024
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