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NPI Code Detail

MEDICARE: DR. MOLLY E ROSSIGNOL D.O.

MEDICARE: DR. MOLLY E ROSSIGNOL D.O.
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
1207QA0401XAddiction Medicine (Family Medicine) Physician10880NH
2207Q00000XFamily Medicine Physician10880NH

General Provider Information

NPI Number : 1780687145
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOLLY E ROSSIGNOL D.O.
Provider Business Mailing Address
First Line : 250 PLEASANT ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-7539
Country : US
Telephone Number : 603-227-7200
Fax Number : 603-228-7307
Provider Business Practice Location Address
First Line : 250 PLEASANT ST
Second Line :
City : CONCORD
State : NH
Zip : 03301-7539
Country : US
Telephone Number : 603-227-7200
Fax Number : 603-228-7307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/13/2016

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Directions to “ DR. MOLLY E ROSSIGNOL D.O.” Practice Location

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