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150 Tarrytown Rd Manchester NH 03103-2713 | |
| (864) 336-2731 | |
| (833) 740-3387 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 150 Tarrytown Rd, Manchester, New Hampshire |
| Authorized Official Name and Position | Jessica Schiffman Gaulton (CEO) |
| Authorized Official Contact | 2674324757 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
144 Oakland St Wellesley MA 02481-5323 Ph: () - | 150 Tarrytown Rd Manchester NH 03103-2713 Ph: (864) 336-2731 |
| NPI Number | 1174384572 |
|---|---|
| Provider Enumeration Date | 01/22/2024 |
| Last Update Date | 03/03/2024 |
| Certification Date | 03/03/2024 |
| Medicare PECOS PAC ID | 9436596582 |
|---|---|
| Medicare Enrollment ID | O20240514000901 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174384572 | NPI | - | NPPES |
| Provider Name | Julie A Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891734323 PECOS PAC ID: 0143232256 Enrollment ID: I20240624000341 |
| Provider Name | Brittney Connery |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184194904 PECOS PAC ID: 0345687711 Enrollment ID: I20240720000184 |
| Provider Name | Rebecca Alexandra Sturges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578808358 PECOS PAC ID: 3476801663 Enrollment ID: I20240918004209 |
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