Individual
DR. MARK JON QUITADAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 308-1472
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8595
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004810
—
NH
Enumeration date
06/22/2006
Last updated
08/11/2023
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