Individual
ELIZABETH BLENCOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1555 ELM ST, MANCHESTER, NH 03101-1203
(603) 668-4111
Mailing address
2 WALL ST STE 300, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10067
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107918Y0NH01
BLUE CROSS
NH
01
—
020258994-12
HARVARD PILGRIM
NH
01
—
86583
CIGNA
NH
Enumeration date
11/07/2006
Last updated
03/18/2021
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