Healthcare Provider Details

I. General information

NPI: 1215274550
Provider Name (Legal Business Name): LEANNE HOGAN CONTINO PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 12/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 CENTRAL AVE
DOVER NH
03820-2526
US

IV. Provider business mailing address

8 DURELL DR
NEWMARKET NH
03857-1816
US

V. Phone/Fax

Practice location:
  • Phone: 603-740-2163
  • Fax:
Mailing address:
  • Phone: 203-830-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: