Individual
BONNY LYN WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPT OF PEDIATRICS - NEWBORN NURSERY, LEBANON, NH 03756-1000
(603) 653-6081
(603) 650-0910
Mailing address
1 MEDICAL CENTER DR., DHMC - DEPT OF PEDIATRICS - NEWBORN NURSERY, LEBANON, NH 03756-0001
(603) 653-6081
(603) 650-0910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
12826
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011849
—
VT
05
—
3072323
—
NH
Enumeration date
08/12/2006
Last updated
05/05/2017
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