Provider Demographics
NPI:1578579082
Name:SANDERS, ELIZABETH A (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2 PILLSBURY ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3502
Mailing Address - Country:US
Mailing Address - Phone:603-224-7575
Mailing Address - Fax:603-228-7255
Practice Address - Street 1:2 PILLSBURY ST
Practice Address - Street 2:SUITE 401
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3502
Practice Address - Country:US
Practice Address - Phone:603-224-7575
Practice Address - Fax:603-228-7255
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2017-02-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH9102207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30007527Medicaid
NH51377OtherMATTHEW THRONTON
NH30211217OtherMEDICAID GROUP PROVIDER #
NH08976600OtherANTHEM BLUE CHOICE
NH260982OtherCIGNA (CORRECTED)
NHRE4520Medicare PIN
NH260982OtherCIGNA (CORRECTED)