Individual
MARY G PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
80 ROUTE 125, KINGSTON, NH 03848-3535
(603) 642-6700
(603) 642-6701
Mailing address
80 ROUTE 125, KINGSTON, NH 03848-3535
(603) 642-6700
(603) 642-6701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
76376
MA
207Q00000X
Family Medicine Physician
Primary
9106
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402142YPNH01
BCBS NH
NH
01
—
15221
CIGNA NH
NH
01
—
3084720
AETNA HMO
NH
05
—
3119076
—
MA
05
—
40226429
—
NH
01
—
4480241
AETNA PPO
NH
01
—
723885
TUFTS HEALTH PLAN
MA
01
—
B10383301
CIGNA MASSACHUSETTS
MA
01
—
F30970
HARVARD PILGRIM
MA
01
—
J12643
BCBS MA
MA
Enumeration date
03/23/2006
Last updated
03/05/2009
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