| Jwalant Vadalia Md Pc | |
|
138 Webster Street Manchester NH 03104 | |
| (603) 645-5977 | |
| (603) 645-5980 |
| Full Name | Jwalant Vadalia Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 138 Webster Street, Manchester, New Hampshire |
| Authorized Official Name and Position | Jwalant K Vadalia (PRESIDENT) |
| Authorized Official Contact | 6036455977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jwalant Vadalia Md Pc Po Box 3300 Manchester NH 03105 Ph: (603) 645-5977 | Jwalant Vadalia Md Pc 138 Webster Street Manchester NH 03104 Ph: (603) 645-5977 |
| NPI Number | 1346329133 |
|---|---|
| Provider Enumeration Date | 11/03/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698666337 |
|---|---|
| Medicare Enrollment ID | O20040323000491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346329133 | NPI | - | NPPES |
| CI6332 | Other | NH | R MEDICARE |
| 30010809 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kristen E Libby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700873635 PECOS PAC ID: 9133113343 Enrollment ID: I20040412000788 |
| Provider Name | Deborah Moser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275509614 PECOS PAC ID: 6608837596 Enrollment ID: I20041025000102 |
| Provider Name | Reinhard Viehoff |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1558358218 PECOS PAC ID: 9032131677 Enrollment ID: I20051227000155 |
| Provider Name | Nancy D Leblanc |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740277680 PECOS PAC ID: 7810910346 Enrollment ID: I20060110000943 |
| Provider Name | James Beauregard |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326035734 PECOS PAC ID: 5799790176 Enrollment ID: I20060207000745 |
| Provider Name | Melissa R Bertoulin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487674917 PECOS PAC ID: 8325057953 Enrollment ID: I20060411000099 |
| Provider Name | Jwalant K Vadalia |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1578550232 PECOS PAC ID: 1759272495 Enrollment ID: I20080506000233 |
| Provider Name | Catherine D Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609140086 PECOS PAC ID: 4789846122 Enrollment ID: I20120502000045 |
| Provider Name | Meagan Etchells Lentz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073745899 PECOS PAC ID: 8426287616 Enrollment ID: I20140211000781 |
| Provider Name | Betty A Lafleur |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538339908 PECOS PAC ID: 0648401455 Enrollment ID: I20140320000149 |
| Provider Name | Maryann Tuttobene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952801318 PECOS PAC ID: 8022379825 Enrollment ID: I20180219000215 |
| Provider Name | Benjamin L Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457912065 PECOS PAC ID: 4284965906 Enrollment ID: I20191010003007 |
| Provider Name | Michael J Spatcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043674054 PECOS PAC ID: 2668893470 Enrollment ID: I20200603002125 |
| Provider Name | Akash J Vadalia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225564222 PECOS PAC ID: 4880072198 Enrollment ID: I20220527000426 |
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