Individual
HEATHER I. L. SHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 JONES RD, MILFORD, NH 03055
(603) 672-7600
(603) 672-6274
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13329
NH
207QS0010X
Sports Medicine (Family Medicine) Physician
13329
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074468
—
NH
05
—
914646600
—
MN
Enumeration date
01/04/2006
Last updated
01/17/2019
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