Individual
SANDRA C. TRUEBE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
275 MAMMOTH RD, SUITE 2, MANCHESTER, NH 03109-4133
(603) 663-8300
(603) 663-8349
Mailing address
275 MAMMOTH RD, SUITE 2, MANCHESTER, NH 03109-4133
(603) 663-8300
(603) 663-8349
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12058
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203998
—
NH
01
—
30447Y
ANTHEM REFERRING RAN
NH
01
—
3539084
CIGNA
NH
01
—
437892
CIGNA
NH
01
—
468780
TUFTS
NH
01
—
AA1997
HPHC
NH
Enumeration date
10/26/2005
Last updated
07/09/2007
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