Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD12673 | RI |
Y | 2080P0204X | Pediatric Emergency Doctor | 15275 | NH |
NPI | 1285810531 |
---|---|
Provider Name | Emily A Zajano |
First Address | Manchester, NH 03103-3502 |
Second Address | Manchester, NH 03103-3502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2008 |
Last Update Date | 09/07/2011 |