Individual
MARY BETH DINULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-6044
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-6044
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
11088
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5953
—
VT
05
—
30201173
—
NH
Enumeration date
08/20/2006
Last updated
09/16/2010
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