Individual
MARY ELLEN FISKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
253 PLEASANT ST, CONCORD, NH 03301-7560
(603) 226-2200
Mailing address
253 PLEASANT ST, CONCORD, NH 03301-7560
(603) 226-2200
(860) 523-3201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
039126
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30208122
—
NH
Enumeration date
06/17/2005
Last updated
03/16/2017
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