Provider Demographics
NPI:1962630202
Name:BUDDENSEE, MELISSA MIHELIDAKIS (MD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MIHELIDAKIS
Last Name:BUDDENSEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:DEMETRA
Other - Last Name:MIHELIDAKIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:155 MAIN ST
Mailing Address - Street 2:ACHS FRANCONIA
Mailing Address - City:FRANCONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03580
Mailing Address - Country:US
Mailing Address - Phone:603-823-7078
Mailing Address - Fax:
Practice Address - Street 1:1095 PROFILE RD STE B
Practice Address - Street 2:
Practice Address - City:FRANCONIA
Practice Address - State:NH
Practice Address - Zip Code:03580-4938
Practice Address - Country:US
Practice Address - Phone:603-823-7078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHRT 1913207Q00000X
NH15562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine