Individual
CONSTANCE A BUTTLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
154 BROAD ST, SUITE 1538, NASHUA, NH 03063-3239
(603) 889-4431
(603) 889-1572
Mailing address
42 LOUISE DR, HOLLIS, NH 03049-6008
(603) 886-5865
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
54077
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
7941
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007941
TUFTS
—
01
—
0107574Y0NH01
BC/BS
NH
01
—
220013062
RAILROAD MEDICARE
NV
05
—
30002601
—
NH
01
—
6384
CIGNA/HEALTHSOURCE
—
01
—
783906
MVP INS
—
Enumeration date
08/25/2005
Last updated
08/19/2015
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