MEDICARE: PAMELA A STETZER DO

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
1	207V00000X	Obstetrics & Gynecology Physician	34007921	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000387130	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952300709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA A STETZER DO

Provider Business Mailing Address
First Line	:	454 OLD STREET RD
Second Line	:	SUITE 302
City	:	PETERBOROUGH
State	:	NH
Zip	:	03458-1200
Country	:	US
Telephone Number	:	603-924-9444
Fax Number	:	603-924-8709

Provider Business Practice Location Address
First Line	:	454 OLD STREET RD
Second Line	:	SUITE 302
City	:	PETERBOROUGH
State	:	NH
Zip	:	03458-1200
Country	:	US
Telephone Number	:	603-924-9444
Fax Number	:	603-924-8709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	05/18/2016

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Directions to “ PAMELA A STETZER DO” Practice Location

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