Provider Demographics
NPI:1942588033
Name:ANDERSON, SERAFIN CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:SERAFIN
Middle Name:CRAIG
Last Name:ANDERSON
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 1:32 ORCHARD VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:NH
Mailing Address - Zip Code:03086-5733
Mailing Address - Country:US
Mailing Address - Phone:603-654-6639
Mailing Address - Fax:
Practice Address - Street 1:32 ORCHARD VIEW DR
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:NH
Practice Address - Zip Code:03086-5733
Practice Address - Country:US
Practice Address - Phone:603-654-6639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7734208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics