Individual
JOANNE E BULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
590 COURT STREET, KEENE, NH 03431-1719
(603) 354-5400
(603) 354-6645
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5400
(603) 354-6645
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7168
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30001057
—
NH
Enumeration date
06/21/2006
Last updated
04/05/2012
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