| John M Iudice | |
|
14 Manchester Sq 290 Portsmouth NH 03801-8001 | |
| (603) 591-3707 | |
| (603) 583-5391 |
| Full Name | John M Iudice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 14 Manchester Sq, Portsmouth, New Hampshire |
| Authorized Official Name and Position | John M Iudice (OWNER) |
| Authorized Official Contact | 6035913707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Iudice 14 Manchester Sq 290 Portsmouth NH 03801-8001 Ph: (603) 591-3707 | John M Iudice 14 Manchester Sq 290 Portsmouth NH 03801-8001 Ph: (603) 591-3707 |
| NPI Number | 1316391980 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316391980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1637 (New Hampshire) | Primary |
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