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Contact Information

AIDA CERUNDOLO, MD
1 MEDICAL CENTER DR
LEBANON, NH03756
 Phone: 603-650-7254
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AIDA CERUNDOLO · (Female)

NPI Number 1265497697
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2006
Last updated 09/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 11986
  • MA Medicaid 110004423A
  • NH Medicaid 30203570
  • NH Other 1265497697 ANTHEM BCBS
  • NH Other AA188476 HARVARD PILGRIM HEALTHCARE
Hospital affiliation(s)
  • ALICE PECK DAY MEMORIAL HOSPITAL - (Critical Access)
    10 ALICE PECK DAY DRIVE
    LEBANON, NH 03766
  • MARY HITCHCOCK MEMORIAL HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DRIVE
    LEBANON, NH 03756
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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