Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 10880 | NH |
Y | 207QA0401X | Family Doctor - Addiction Medicine | 10880 | NH |
NPI | 1780687145 |
---|---|
Provider Name | Dr. Molly E Rossignol |
First Address | Concord, NH 03301-7539 |
Second Address | Concord, NH 03301-7539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2005 |
Last Update Date | 13/04/2016 |