| N/a | |
|
5 Pine Street Ext Nashua NH 03060-3248 | |
| (603) 459-3071 | |
| Not Available |
| Full Name | N/a |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 5 Pine Street Ext, Nashua, New Hampshire |
| Authorized Official Name and Position | Daniel P. Morin (MEMBER) |
| Authorized Official Contact | 6034593071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N/a 5 Pine Street Ext Nashua NH 03060-3248 Ph: (603) 459-3071 | N/a 5 Pine Street Ext Nashua NH 03060-3248 Ph: (603) 459-3071 |
| NPI Number | 1689182917 |
|---|---|
| Provider Enumeration Date | 01/22/2018 |
| Last Update Date | 01/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689182917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | 022774-23 (New Hampshire) | Primary |
| 251S00000X | Community/behavioral Health | 022774-23 (New Hampshire) | Secondary |
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