| Bae Systems-manchester | |
|
3000 Goffs Falls Rd Manchester NH 03103-6109 | |
| (603) 506-0203 | |
| (603) 506-0204 |
| Full Name | Bae Systems-manchester |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3000 Goffs Falls Rd, Manchester, New Hampshire |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bae Systems-manchester 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Bae Systems-manchester 3000 Goffs Falls Rd Manchester NH 03103-6109 Ph: (603) 506-0203 |
| NPI Number | 1982373726 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982373726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Granite State Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Tarrytown Rd, Granite State Medical Center, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
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