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Individual

MARY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
23 STILES RD STE 102, ATT: CHRISTINE VALLANTE, SALEM, NH 03079-2853
(603) 893-4352
(603) 894-4522
Mailing address
23 STILES RD STE 102, ATT: CHRISTINE VALLANTE, SALEM, NH 03079-2853
(603) 893-4352
(603) 894-4522

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
10841
NH
2085R0202X
Diagnostic Radiology Physician
54360
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30200654
NH
05
3024211
MA
Enumeration date
09/08/2005
Last updated
09/06/2012
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