Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 2035 | NH |
Y | 213EG0000X | General Practice | 2035 | NH |
NPI | 1003934944 |
---|---|
Provider Name | Dr. Anne Barclay Filler |
First Address | Windham, NH 03087-0547 |
Second Address | Windham, NH 03087-0547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Z81744 | BLUE CROSS (01) | MA |