Healthcare Provider Details

I. General information

NPI: 1780046698
Provider Name (Legal Business Name): AMY CHARRON WATSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DR
EXETER NH
03833-2160
US

IV. Provider business mailing address

5 ALUMNI DR
EXETER NH
03833-2160
US

V. Phone/Fax

Practice location:
  • Phone: 603-778-7311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number21718
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: