| Further Care P A | |
|
330 Borthwick Ave Ste 111 Portsmouth NH 03801-7110 | |
| (603) 294-4424 | |
| (603) 319-1603 |
| Full Name | Further Care P A |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 330 Borthwick Ave Ste 111, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Michel Juan Rondon Vidal (PRESIDENT) |
| Authorized Official Contact | 6032944424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Further Care P A 330 Borthwick Ave Ste 111 Portsmouth NH 03801-7110 Ph: (603) 294-4424 | Further Care P A 330 Borthwick Ave Ste 111 Portsmouth NH 03801-7110 Ph: (603) 294-4424 |
| NPI Number | 1801226071 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 11/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801226071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 14095 (New Hampshire) | Primary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 14095 (New Hampshire) | Secondary |
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