| Doctor Name: | MARY T BAILLARGEON |
| NPI Number: | 1780718684 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPAS |
| License Number: | 0625 |
| Business Practice Address: | 200 Technology Dr Hooksett, NH - 031062504 |
| Business Phone Number: | 6036226484 |
| Business Fax Number: | 6036478593 |
| Mailing Address: | 200 Technology Dr, HOOKSETT |
| State: | NH |
| Postal Code: | 031062504 |
| Phone Number: | 6036226484 |
| Fax Number: | 6036478593 |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 05/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0625 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |