| Granite State Geriatrics Pllc | |
|
635 Main St Ste 303 Laconia NH 03246-3415 | |
| (603) 409-0735 | |
| (877) 919-0640 |
| Full Name | Granite State Geriatrics Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 635 Main St Ste 303, Laconia, New Hampshire |
| Authorized Official Name and Position | Raymond Edwin Suarez (MEMBER) |
| Authorized Official Contact | 6034090735 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite State Geriatrics Pllc 32 Harvest Run Gilford NH 03249-6567 Ph: () - | Granite State Geriatrics Pllc 635 Main St Ste 303 Laconia NH 03246-3415 Ph: (603) 409-0735 |
| NPI Number | 1003423724 |
|---|---|
| Provider Enumeration Date | 09/27/2020 |
| Last Update Date | 09/27/2020 |
| Certification Date | 09/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003423724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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