Individual
TERESA MARIE VANDERLINDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
839 CENTRAL AVE STE 1, DOVER, NH 03820-2506
(603) 516-0000
Mailing address
839 CENTRAL AVE STE 1, DOVER, NH 03820-2506
(603) 516-0000
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
10011
NH
207VG0400X
Gynecology Physician
Primary
1725
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04Y013156NH01
FEDERAL BCBS
NH
01
—
1170854
MAILHANDLERS
—
01
—
200723
ME BCBS
ME
01
—
2735310
AETNA
—
05
—
30010551
—
NH
01
—
8475278
CIGNA NATIONAL
—
01
—
M-121825
CIGNA
—
Enumeration date
05/08/2006
Last updated
05/28/2008
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