Individual
MARIAN ALYCE BROOKFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-5109
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1540
NH
363A00000X
Physician Assistant
Primary
PA6720
MA
Other
Enumeration date
08/14/2018
Last updated
01/13/2020
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