Silver Birch Geriatrics Llc | |
84 Central Ave Dover NH 03820-4070 | |
(603) 842-4747 | |
(603) 842-4746 |
Full Name | Silver Birch Geriatrics Llc |
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Speciality | Psychiatry & Neurology |
Location | 84 Central Ave, Dover, New Hampshire |
Authorized Official Name and Position | Sandeep Sobti (PRESIDENT) |
Authorized Official Contact | 6038424747 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Silver Birch Geriatrics Llc 84 Central Ave Dover NH 03820-4070 Ph: (603) 842-4747 | Silver Birch Geriatrics Llc 84 Central Ave Dover NH 03820-4070 Ph: (603) 842-4747 |
NPI Number | 1184982555 |
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Provider Enumeration Date | 04/24/2012 |
Last Update Date | 12/11/2014 |
Medicare PECOS PAC ID | 8022267046 |
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Medicare Enrollment ID | O20121009000052 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184982555 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 10455 (New Hampshire) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 10455 (New Hampshire) | Primary |
Provider Name | Sandeep Sobti |
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Provider Type | Practitioner - Geriatric Psychiatry |
Provider Identifiers | NPI Number: 1902988124 PECOS PAC ID: 5092736256 Enrollment ID: I20051215000200 |
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