Individual
DR. MARY L FUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 749-2266
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14621
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074322
—
NH
Enumeration date
10/17/2006
Last updated
01/07/2025
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