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Contact Information

SERENA R SHOMODY, DPM
590 COURT ST
DARTMOUTH HITCHCOCK - PODIATRY
KEENE, NH03431-1719
 Phone: 603-354-5454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SERENA R SHOMODY · (Female)

NPI Number 1932307139
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/10/2007
Last updated 09/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 0318
  • NH Medicaid 30366159
Hospital affiliation(s)
  • CHESHIRE MEDICAL CENTER - (Acute Care)
    580 COURT STREET
    KEENE, NH 03431
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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