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General NPI Number Information
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NPI Number | 1629462981
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Entity Type | Individual
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Provider Name | JENNIFER GOODHART FIORE MD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 275 MAMMOTH RD
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City | MANCHESTER
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State | NH
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Zip | 03109-4133
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Country | US
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Telephone | 603-663-8350
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Fax |
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Provider Business Mailing Address
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Address Line | 275 MAMMOTH RD
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City | MANCHESTER
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State | NH
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Zip | 03109-4133
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Country | US
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Telephone | 603-663-8350
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34131
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 273597
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License Number State | MA
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