| Affirm Medical Group Pllc | |
|
20 W Park St Ste 421 Lebanon NH 03766-6308 | |
| (603) 276-0024 | |
| Not Available |
| Full Name | Affirm Medical Group Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 W Park St Ste 421, Lebanon, New Hampshire |
| Authorized Official Name and Position | Benjamin Boh (OWNER) |
| Authorized Official Contact | 6032760024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Affirm Medical Group Pllc 20 W Park St Ste 421 Lebanon NH 03766-6308 Ph: (603) 276-0024 | Affirm Medical Group Pllc 20 W Park St Ste 421 Lebanon NH 03766-6308 Ph: (603) 276-0024 |
| NPI Number | 1780250738 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Medicare PECOS PAC ID | 8820492853 |
|---|---|
| Medicare Enrollment ID | O20210812000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780250738 | NPI | - | NPPES |
| Provider Name | Benjamin J Boh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982921805 PECOS PAC ID: 2769497189 Enrollment ID: I20150923003271 |
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