Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 11097 | NH |
NPI | 1154391258 |
---|---|
Provider Name | Dr. Linda J. Syiek |
First Address | Bedford, NH 03110-6927 |
Second Address | Bedford, NH 03110-6927 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2006 |
Last Update Date | 09/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E93301 | (02) | NH |