Individual
DR. SUSAN TODD EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9666
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9666
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
6099
NH
2080P0206X
Pediatric Gastroenterology Physician
Primary
6099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000209
—
NH
05
—
1000672
—
VT
Enumeration date
08/12/2006
Last updated
07/18/2011
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