Provider Demographics
NPI:1336393552
Name:TERESA MARY CADORETTE, M.D., P.A.
Entity type:Organization
Organization Name:TERESA MARY CADORETTE, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:CADORETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-924-0804
Mailing Address - Street 1:45 MAIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-2433
Mailing Address - Country:US
Mailing Address - Phone:603-924-0804
Mailing Address - Fax:603-924-0844
Practice Address - Street 1:45 MAIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-2433
Practice Address - Country:US
Practice Address - Phone:603-924-0804
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-14
Last Update Date:2009-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH91832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1336393552OtherNPI, ORGANIZATIONAL
E98825OtherMEDICARE UPIN, INDIVIDUAL
1659322238OtherNPI, INDIVIDUAL
E98825OtherMEDICARE UPIN, INDIVIDUAL