Healthcare Provider Details

I. General information

NPI: 1336678119
Provider Name (Legal Business Name): CATHERINE MARANDO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

248 PLEASANT ST STE 1600
CONCORD NH
03301-2588
US

IV. Provider business mailing address

2 PILLSBURY ST STE 100
CONCORD NH
03301-3549
US

V. Phone/Fax

Practice location:
  • Phone: 603-224-2020
  • Fax:
Mailing address:
  • Phone: 603-224-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number287037
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number24475
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: