Provider Demographics
NPI:1093832941
Name:GLOVER, SARAH TERESA (DO)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:TERESA
Last Name:GLOVER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:BOSCAWEN
Mailing Address - State:NH
Mailing Address - Zip Code:03303-2415
Mailing Address - Country:US
Mailing Address - Phone:603-796-2165
Mailing Address - Fax:603-796-3267
Practice Address - Street 1:325 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:BOSCAWEN
Practice Address - State:NH
Practice Address - Zip Code:03303-2410
Practice Address - Country:US
Practice Address - Phone:603-796-2165
Practice Address - Fax:603-796-3267
Is Sole Proprietor?:No
Enumeration Date:2007-03-24
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14198207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30227181Medicaid
NH000987502Medicare PIN