Individual
TIA MARGARET CONOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
155 BORTHWICK AVE STE 200E, PORTSMOUTH, NH 03801-4184
(860) 604-2939
Mailing address
155 BORTHWICK AVE STE 200E, PORTSMOUTH, NH 03801-4184
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1209
NH
Other
Enumeration date
08/23/2024
Last updated
08/23/2024
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