Individual
GLADYS V RODRIGUEZ CARABALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
207 S MAIN ST, NEWMARKET, NH 03857-1835
(603) 292-7292
(603) 659-5892
Mailing address
207 S MAIN ST, NEWMARKET, NH 03857-1835
(603) 292-3061
(603) 659-5892
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1020
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096848
—
NH
05
—
9001140
—
VT
Enumeration date
01/13/2009
Last updated
09/23/2021
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