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NPI Code Detail

MEDICARE: DR. ELLEN KING SCHLEFER MD

MEDICARE: DR. ELLEN KING SCHLEFER 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
12084P0804XChild & Adolescent Psychiatry Physician9933NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
19933OTHERNHLICENCE

General Provider Information

NPI Number : 1154441962
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELLEN KING SCHLEFER MD
Provider Business Mailing Address
First Line : 28 COLONY COVE ROAD
Second Line :
City : DURHAM
State : NH
Zip : 03824-3410
Country : US
Telephone Number : 603-512-0205
Fax Number : 603-335-9278
Provider Business Practice Location Address
First Line : 25 OLD DOVER ROAD
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-3464
Country : US
Telephone Number : 603-516-9300
Fax Number : 603-335-9278
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/27/2025

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