Individual
CHERIE DARLENE ERTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
103 BOULDER POINT DR, PLYMOUTH, NH 03264-3168
(603) 536-1881
Mailing address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 238-6447
(603) 536-2017
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
28155
WV
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
80607
MA
207Q00000X
Family Medicine Physician
Primary
80607
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080607
TUFTS HEALTH PLAN
MA
05
—
3142418
—
MA
01
—
J31270
BLUE CROSS & BLUE SHIELD
MA
Enumeration date
07/25/2006
Last updated
01/25/2023
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