| |
189 N Main St Concord NH 03301-5046 | |
(603) 228-1111 | |
(603) 226-4314 |
Full Name | |
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Speciality | General Practice |
Location | 189 N Main St, Concord, New Hampshire |
Authorized Official Name and Position | Bruce R Burns (CFO/SENIOR VICE PRESIDENT) |
Authorized Official Contact | 6032277000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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189 N Main St Concord NH 03301-5046 Ph: (603) 228-1111 | 189 N Main St Concord NH 03301-5046 Ph: (603) 228-1111 |
NPI Number | 1003835216 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 12/08/2009 |
Identifier | Type | State | Issuer |
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1003835216 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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