Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 14484 | NH |
N | 2080P0204X | Pediatric Emergency Doctor | 25MA08085800 | NJ |
NPI | 1093826893 |
---|---|
Provider Name | Dr. Susan E Abel |
First Address | Nashua, NH 03062-1323 |
Second Address | Nashua, NH 03062-1323 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30209341 | (05) | NH |