| Atlantic Internal Medicine & Pediatrics, Inc | |
|
200 Griffin Rd Ste 6 Portsmouth NH 03801-7145 | |
| (603) 373-0096 | |
| (888) 753-6169 |
| Full Name | Atlantic Internal Medicine & Pediatrics, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Griffin Rd Ste 6, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Adam Kurish (PRESIDENT) |
| Authorized Official Contact | 6033730096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Internal Medicine & Pediatrics, Inc 200 Griffin Rd Ste 6 Portsmouth NH 03801-7145 Ph: (603) 373-0096 | Atlantic Internal Medicine & Pediatrics, Inc 200 Griffin Rd Ste 6 Portsmouth NH 03801-7145 Ph: (603) 373-0096 |
| NPI Number | 1104163070 |
|---|---|
| Provider Enumeration Date | 01/11/2013 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 8325292758 |
|---|---|
| Medicare Enrollment ID | O20130211000569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104163070 | NPI | - | NPPES |
| 3086915 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 15882 (New Hampshire) | Primary |
| 208000000X | Pediatrics | 15882 (New Hampshire) | Secondary |
| Provider Name | Adam J Kurish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629236377 PECOS PAC ID: 4880840099 Enrollment ID: I20130214000308 |
| Provider Name | Madeline Rose Grandin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669082483 PECOS PAC ID: 9537573779 Enrollment ID: I20210130000228 |
| Provider Name | Sarah Elizabeth Boyatsis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073229753 PECOS PAC ID: 2062886930 Enrollment ID: I20230315001764 |
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