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NPI Code Detail

MEDICARE: CHRISTINA MARIE ANDERSON M.D.

MEDICARE: CHRISTINA MARIE ANDERSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician11234NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144229568
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE ANDERSON M.D.
Provider Business Mailing Address
First Line : 19 FEDERAL CORNER RD
Second Line :
City : CENTER TUFTONBORO
State : NH
Zip : 03816-5600
Country : US
Telephone Number : 603-569-7712
Fax Number :
Provider Business Practice Location Address
First Line : 240 S MAIN ST
Second Line : MEDICAL ARTS BUILDING STE A
City : WOLFEBORO
State : NH
Zip : 03894-4411
Country : US
Telephone Number : 603-569-7574
Fax Number : 603-569-7582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 07/09/2007

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Directions to “ CHRISTINA MARIE ANDERSON M.D.” Practice Location

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