Bedford Internal Medicine Pa | |
40 South River Rd Bedford Place Unit 16 Bedford NH 03110-6721 | |
(603) 645-6652 | |
(603) 624-1634 |
Full Name | Bedford Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 40 South River Rd, Bedford, New Hampshire |
Authorized Official Name and Position | Denis Paul Dupuis (PRESIDENT) |
Authorized Official Contact | 6036456652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bedford Internal Medicine Pa 40 S River Rd Unit 16 Bedford NH 03110-6721 Ph: (603) 645-6652 | Bedford Internal Medicine Pa 40 South River Rd Bedford Place Unit 16 Bedford NH 03110-6721 Ph: (603) 645-6652 |
NPI Number | 1568686376 |
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Provider Enumeration Date | 04/12/2007 |
Last Update Date | 12/30/2019 |
Medicare PECOS PAC ID | 2365462512 |
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Medicare Enrollment ID | O20051201000995 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568686376 | NPI | - | NPPES |
80002202 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Denis Dupuis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1740391663 PECOS PAC ID: 1355332750 Enrollment ID: I20040524000769 |
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