| Ms Faye Memolo, PA-C | |
|
187 Main St, Apt. 6, Colebrook, NH 03576-2012 | |
| (603) 348-0259 | |
| Not Available |
| Full Name | Ms Faye Memolo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 187 Main St, Colebrook, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548219728 | NPI | - | NPPES |
| 200999212 | Other | NH | TAX ID |
| 7058699 | Other | NH | AETNA |
| 00068486 | Other | VT | BCBS OF VT |
| 30333351 | Medicaid | NH | |
| 9000213 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0403 P (New Hampshire) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Faye Memolo, PA-C 187 Main St., Apt. 6, National Dermatology Healthcare/faye Memolo, Pa-c, Colebrook, NH 03576 Ph: (603) 348-0259 | Ms Faye Memolo, PA-C 187 Main St, Apt. 6, Colebrook, NH 03576-2012 Ph: (603) 348-0259 |
Stefanie A Carone, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 141 Corliss Ln, Colebrook, NH 03576 Phone: 603-237-8336 | |
Mrs. Elizabeth Anne Denauw, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6 First St, Colebrook, NH 03576 Phone: 602-237-4262 |