| Appledore Medical Group, Inc. | |
|
330 Borthwick Ave Suite 101 Portsmouth NH 03801-4174 | |
| (603) 433-8434 | |
| Not Available |
| Full Name | Appledore Medical Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Borthwick Ave, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Kenneth Washington (VP) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appledore Medical Group, Inc. 330 Borthwick Ave Suite 101 Portsmouth NH 03801-4174 Ph: (603) 433-8434 | Appledore Medical Group, Inc. 330 Borthwick Ave Suite 101 Portsmouth NH 03801-4174 Ph: (603) 433-8434 |
| NPI Number | 1619918265 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 02/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619918265 | NPI | - | NPPES |
| 30213395 | Medicaid | NH | |
| 142350000 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Borthwick Ave, Suite 210, Portsmouth, NH 03801 Phone: 603-436-5455 Fax: 603-433-1985 | |
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