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NPI Code Detail

MEDICARE: AMANDA NEIDER MD

MEDICARE: AMANDA NEIDER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician39224NH
22085R0204XVascular & Interventional Radiology Physician39224NH

General Provider Information

NPI Number : 1033738190
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA NEIDER MD
Provider Business Mailing Address
First Line : 703 RIVERWAY PL
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6745
Country : US
Telephone Number : 603-627-1661
Fax Number : 603-669-6944
Provider Business Practice Location Address
First Line : 703 RIVERWAY PL
Second Line :
City : BEDFORD
State : NH
Zip : 03110-6745
Country : US
Telephone Number : 603-627-1661
Fax Number : 603-669-6944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2020
Last Update Date : 06/23/2026

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Directions to “ AMANDA NEIDER MD” Practice Location

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