Healthcare Provider Details

I. General information

NPI: 1285810531
Provider Name (Legal Business Name): EMILY A ZAJANO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 07/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY ELLIOT HOSPITAL EMERGENCY MEDICINE SPECIALISTS
MANCHESTER NH
03103-3502
US

IV. Provider business mailing address

1 ELLIOT WAY ELLIOT HOSPITAL EMERGENCY MEDICINE SPECIALISTS
MANCHESTER NH
03103-3502
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-2830
  • Fax: 603-663-1849
Mailing address:
  • Phone: 603-663-2830
  • Fax: 603-663-1849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD12673
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number15275
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: