Individual
MARTHA J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
DARTMOUTH HITCHCOCK MEDICAL CENTER, 1 MEDICAL CENTER DR, LEBANON, NH 03756
(603) 650-4000
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0540
NH
363A00000X
Physician Assistant
055-0030427
VT
363A00000X
Physician Assistant
055-0030581
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333545
—
NH
Enumeration date
07/18/2006
Last updated
07/19/2007
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