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655 Portsmouth Ave, Greenland, NH 03840-2264 | |
(603) 436-4655 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Audiologist |
Location | 655 Portsmouth Ave, Greenland, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457557423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2251N0400X | Physical Therapist - Neurology | (* (Not Available)) | Secondary |
231H00000X | Audiologist | 167 (New Hampshire) | Primary |
Provider Name | Sally Fodero |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1306822580 PECOS PAC ID: 6709870710 Enrollment ID: I20040413000539 |
Mailing Address | Practice Location Address |
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655 Portsmouth Ave, Greenland, NH 03840-2264 Ph: (603) 436-4655 | 655 Portsmouth Ave, Greenland, NH 03840-2264 Ph: (603) 436-4655 |
Dr. Sally Woodie Fodero, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 655 Portsmouth Ave, Greenland, NH 03840 Phone: 603-436-4655 Fax: 603-436-4660 |