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Individual

BRIDGET M VIENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
67 CORPORATE DRIVE, 3RD FLOOR, PORTSMOUTH, NH 03801-2847
(603) 610-8050
(603) 431-9945
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-4478
(603) 431-9945

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0220
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3092097
NH
Enumeration date
11/14/2007
Last updated
02/10/2020
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