Individual
MARTHA K ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC SECTION OF ALLERGY AND IMMUNOLOGY, LEBANON, NH 03756-1000
(603) 653-9885
Mailing address
1 MEDICAL CENTER DR, DHMC SECTION OF ALLERGY AND IMMUNOLOGY, LEBANON, NH 03756-1000
(603) 653-9885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
15375
NH
207R00000X
Internal Medicine Physician
48658
MN
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
15375
NH
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
48658
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019915
—
VT
05
—
3079128
—
NH
05
—
35273000
—
WI
05
—
443930000
—
MN
01
—
P00349538
RAILROAD MEDICARE
MN
Enumeration date
07/28/2006
Last updated
01/28/2016
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