Individual
NANCY J PETTINARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 MEMBERS WAY FL 5, DOVER, NH 03820-5933
(603) 609-6800
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7731
NH
207R00000X
Internal Medicine Physician
MD12622
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075997
—
NH
Enumeration date
06/06/2006
Last updated
03/17/2018
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