Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | NH7070 | NH |
NPI | 1033173992 |
---|---|
Provider Name | Cynthia M Bear |
First Address | Rye, NH 03870-2339 |
Second Address | Rye, NH 03870-2339 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2006 |
Last Update Date | 30/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DO3515 | (02) | NH |