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Individual

DR. NANCY DIANE EFFERSON-BONACHEA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
764 2ND ST, MANCHESTER, NH 03102-5210
(603) 669-3925
Mailing address
764 2ND ST, MANCHESTER, NH 03102-5210
(603) 669-3925

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
12932
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
014008987NH01
ANTHEM
NH
05
3072739
NH
01
3972404
AETNA
01
494440
TUFTS
NH
Enumeration date
02/14/2006
Last updated
07/05/2024
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