Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 17939 | NH |
N | 207VX0000X | Obstetrician | MD16439 | ME |
NPI | 1326080805 |
---|---|
Provider Name | Deborah B Surette |
First Address | Nashua, NH 03061-3677 |
Second Address | Nashua, NH 03060-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 09/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H11786 | (02) |