Individual
ANNA K. FARISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6602
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6602
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
11309R
LA
2085R0001X
Radiation Oncology Physician
Primary
13342
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012975
—
VT
05
—
1670821
—
LA
05
—
30206284
—
NH
Enumeration date
08/30/2006
Last updated
07/08/2011
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