Individual
DR. SERENA R SHOMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
590 COURT ST, DARTMOUTH HITCHCOCK - PODIATRY, KEENE, NH 03431-1719
(603) 354-5454
Mailing address
590 COURT ST, DARTMOUTH HITCHCOCK - PODIATRY, KEENE, NH 03431-1719
(603) 354-5454
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0318
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30366159
—
NH
Enumeration date
07/10/2007
Last updated
09/28/2015
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