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Individual

AMANDA UNDERWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
6 BUTTRICK RD, SUITE 102, LONDONDERRY, NH 03053
(603) 537-1300
Mailing address
6 BUTTRICK RD, SUITE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0407 P
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30331815
NH
Enumeration date
05/17/2007
Last updated
08/08/2018
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