Individual
DR. SALLY WOODIE FODERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 PORTSMOUTH AVE, GREENLAND, NH 03840-2264
(603) 436-4655
(603) 436-4660
Mailing address
PO BOX 286, NEW CASTLE, NH 03854-0286
(603) 436-6830
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
167
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30433055
—
NH
Enumeration date
12/19/2005
Last updated
11/17/2015
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