Berwick Family Health Center Llc | |
36 Endicott Laconia NH 03246 | |
(603) 366-7700 | |
(603) 366-7775 |
Full Name | Berwick Family Health Center Llc |
---|---|
Speciality | Family Medicine |
Location | 36 Endicott, Laconia, New Hampshire |
Authorized Official Name and Position | Bradley N Libenson (OWNER AND PROVIDER) |
Authorized Official Contact | 2076987900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Berwick Family Health Center Llc Po Box 719 Berwick ME 03901-0719 Ph: (207) 698-7900 | Berwick Family Health Center Llc 36 Endicott Laconia NH 03246 Ph: (603) 366-7700 |
NPI Number | 1689903007 |
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Provider Enumeration Date | 12/14/2009 |
Last Update Date | 12/14/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689903007 | NPI | - | NPPES |
174580000 | Medicaid | ME | |
30202194 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 1276 (Maine) | Primary |
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