Individual
TARA R SUNTOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, PHD, MPH
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5261
Mailing address
ONE MEDICAL CENTER DRIVE, GI/HEPATOLOGY, LEBANON, NH 03756-0001
(603) 650-5261
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1272
NH
Other
Enumeration date
05/28/2017
Last updated
07/21/2022
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