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Individual

DANA A MERRITHEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
103 BOULDER POINT DRIVE, PLYMOUTH, NH 03264-3168
(603) 536-1881
(603) 238-2198
Mailing address
PO BOX 706, PLYMOUTH, NH 03264-0706
(314) 989-0300
(603) 238-2163

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6365
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0100949Y0NH01
ANTHEM
NH
01
42758
CIGNA
NH
05
81110949
NH
Enumeration date
07/03/2006
Last updated
12/04/2015
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