Provider Demographics
NPI:1336160423
Name:HILLINGER, MARY KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:KAY
Last Name:HILLINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC ALLERGY
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-9885
Mailing Address - Fax:603-650-0907
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC ALLERGY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-653-9885
Practice Address - Fax:603-650-0907
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH11945207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1009567Medicaid
NH30203418Medicaid
VT1009567Medicaid
NH30203418Medicaid