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Individual

DR. MARIA VERONICA OSULLIVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1245 ELM STREET, MANCHESTER, NH 03101-1308
(306) 668-6629
(603) 622-7680
Mailing address
1245 ELM STREET, MANCHESTER, NH 03101-1308
(306) 668-6629
(603) 622-7680

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5845
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0106716Y0NH01
BX
NH
05
80006716
NH
Enumeration date
12/01/2006
Last updated
07/08/2007
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