Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 9490 | NH |
NPI | 1689668352 |
---|---|
Provider Name | Sarah J Macduffie |
First Address | Dover, NH 03820-2526 |
Second Address | Dover, NH 03820-2526 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2005 |
Last Update Date | 01/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3090613 | (05) | NH |
G05598 | (02) | NH |