Healthcare Provider Details

I. General information

NPI: 1942588033
Provider Name (Legal Business Name): SERAFIN CRAIG ANDERSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2011
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 ORCHARD VIEW DR
WILTON NH
03086-5733
US

IV. Provider business mailing address

32 ORCHARD VIEW DR
WILTON NH
03086-5733
US

V. Phone/Fax

Practice location:
  • Phone: 603-654-6639
  • Fax:
Mailing address:
  • Phone: 603-654-6639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number7734
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: