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8 Route 111, Atkinson, NH 03811-5120 | |
(603) 819-5327 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Ophthalmologic Surgery |
Location | 8 Route 111, Atkinson, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1811656895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Secondary |
261QS0132X | Clinic/center - Ophthalmologic Surgery | (* (Not Available)) | Primary |
Provider Name | Patrick J Mallin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720388747 PECOS PAC ID: 9739307497 Enrollment ID: I20140822000243 |
Mailing Address | Practice Location Address |
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16 Partridge Rd, Windham, NH 03087-1256 Ph: () - | 8 Route 111, Atkinson, NH 03811-5120 Ph: (603) 819-5327 |