Healthcare Provider Details

I. General information

NPI: 1821094491
Provider Name (Legal Business Name): MARGARET FLYNN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 07/19/2022
Certification Date: 07/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 KINSLEY ST STE 101
NASHUA NH
03060-3676
US

IV. Provider business mailing address

PO BOX 2013
NASHUA NH
03061-2013
US

V. Phone/Fax

Practice location:
  • Phone: 603-881-7141
  • Fax: 603-880-7221
Mailing address:
  • Phone: 603-578-5090
  • Fax: 603-595-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9887
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number9887
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: