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Individual

AMULYA T SIRAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
10 MEMBERS WAY, SUITE 400, DOVER, NH 03820-5933
(603) 742-1143
(603) 749-3509
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-1143
(603) 749-3509

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
14903
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447424817
ME
05
3076445
NH
Enumeration date
04/16/2008
Last updated
02/17/2014
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