Individual
MACKENZIE BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103
(603) 663-2710
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-2710
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18779
NH
208000000X
Pediatrics Physician
LP03443
RI
Other
Enumeration date
05/18/2015
Last updated
01/25/2019
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