Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 12585 | NH |
Y | 207RX0202X | Medical Oncology | 12585 | NH |
NPI | 1275575219 |
---|---|
Provider Name | Barbara F Civiello |
First Address | Dover, NH 03820-2526 |
Second Address | Dover, NH 03820-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 14/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1275575219 | (05) | ME |
3076223 | (05) | NH |
H45958 | (02) | NH |