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250 Pleasant St Concord NH 03301-7539 | |
| (603) 228-7200 | |
| (603) 228-7307 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 250 Pleasant St, Concord, New Hampshire |
| Authorized Official Name and Position | Bruce Burns (CFO) |
| Authorized Official Contact | 6032277000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
250 Pleasant St Concord NH 03301-7539 Ph: (603) 228-7200 | 250 Pleasant St Concord NH 03301-7539 Ph: (603) 228-7200 |
| NPI Number | 1134386790 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134386790 | NPI | - | NPPES |
| 30011532 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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