Individual
SUSANNE ELIZABETH TANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9663
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF PEDIATRICS, LEBANON, NH 03756-1000
(603) 653-9667
(603) 653-0910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12922
NH
208000000X
Pediatrics Physician
222648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011235
—
VT
05
—
30205308
—
NH
Enumeration date
08/13/2006
Last updated
10/12/2011
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