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Individual

MARTHA TOY FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9 BUZELL AVE, EXETER, NH 03833-2522
(603) 772-8900
(603) 772-0468
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 772-8900
(603) 772-0468

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8309
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30003493
NH
Enumeration date
09/26/2006
Last updated
04/03/2009
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