Provider Demographics
NPI:1720014350
Name:SARKIS, MARLENE S (MD)
Entity Type:Individual
Prefix:
First Name:MARLENE
Middle Name:S
Last Name:SARKIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 SWIFTWATER RD
Mailing Address - Street 2:
Mailing Address - City:WOODSVILLE
Mailing Address - State:NH
Mailing Address - Zip Code:03785
Mailing Address - Country:US
Mailing Address - Phone:603-747-9000
Mailing Address - Fax:603-747-3310
Practice Address - Street 1:COTTAGE HOSPITAL DBA ROWE HEALTH CENTER
Practice Address - Street 2:103 SWIFTWATER ROAD
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785
Practice Address - Country:US
Practice Address - Phone:603-747-2900
Practice Address - Fax:603-747-2992
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH10665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0VN2397Medicaid
NH213683OtherCIGNA NH
NH30202050Medicaid
P00213173OtherRRMCR
NH0101066YPNH02OtherANTHEM BCBS
VT786777OtherMVP
VT48731OtherVT BCBS
NH213683OtherCIGNA NH
VT0VN2397Medicaid