Healthcare Provider Details

I. General information

NPI: 1003250333
Provider Name (Legal Business Name): MELISSA MCGANN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA DUIGNAN

II. Dates (important events)

Enumeration Date: 04/17/2013
Last Update Date: 07/09/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CENTRAL AVE
DOVER NH
03820
US

IV. Provider business mailing address

700 CENTRAL AVE
DOVER NH
03820-6434
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-2424
  • Fax: 603-742-1763
Mailing address:
  • Phone: 603-742-2424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS018655
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number19735
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: