Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 15942 | NH |
Y | 207RH0003X | Hematology & Oncology | 16629 | NH |
NPI | 1265691927 |
---|---|
Provider Name | Wilhelmina Cabalona |
First Address | Dover, NH 03820-2526 |
Second Address | Portsmouth, NH 03801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 12/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3098166 | (05) | NH |
P01381746 | RAILROAD MEDICARE (01) | NH |