Individual
DR. MARY E WEATHERSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PERKINS RD, RYE BEACH, NH 03871-0404
(603) 964-6050
Mailing address
BOX 404, RYE BEACH, NH 03871
(603) 964-6050
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
018152
ME
207P00000X
Emergency Medicine Physician
Primary
6583
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276180099
—
ME
05
—
40203716
—
NH
01
—
P01038055
RAILROAD MCARE
NH
Enumeration date
04/17/2007
Last updated
07/05/2012
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