Provider Demographics
NPI:1497814867
Name:FOLGER, MIRUNA O (MD)
Entity Type:Individual
Prefix:DR
First Name:MIRUNA
Middle Name:O
Last Name:FOLGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MIRUNA
Other - Middle Name:
Other - Last Name:SEGARCEANU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:87 MCGREGOR ST
Mailing Address - Street 2:STE 1300
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3765
Mailing Address - Country:US
Mailing Address - Phone:603-695-2500
Mailing Address - Fax:
Practice Address - Street 1:87 MCGREGOR ST
Practice Address - Street 2:STE 1300
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3765
Practice Address - Country:US
Practice Address - Phone:603-695-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2305642084N0400X
NH139902084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH000744501Medicare PIN