Individual
ENEIDA ISLAMOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4 ELLIOT WAY STE 102, MANCHESTER, NH 03103-3551
(603) 626-5900
(603) 625-2180
Mailing address
4 ELLIOT WAY STE 102, MANCHESTER, NH 03103-3551
(603) 626-5900
(603) 625-2180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0555P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333620
—
NH
Enumeration date
12/08/2005
Last updated
01/19/2011
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