| Dba Dr. Alphonse J. Baluta, Jr. | |
|
184 Mammoth Rd Londonderry NH 03053-3254 | |
| (603) 434-9666 | |
| (603) 425-2973 |
| Full Name | Dba Dr. Alphonse J. Baluta, Jr. |
|---|---|
| Speciality | Internal Medicine |
| Location | 184 Mammoth Rd, Londonderry, New Hampshire |
| Authorized Official Name and Position | Kenneth Washington (VP) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Dr. Alphonse J. Baluta, Jr. 184 Mammoth Rd Londonderry NH 03053-3254 Ph: (603) 434-9666 | Dba Dr. Alphonse J. Baluta, Jr. 184 Mammoth Rd Londonderry NH 03053-3254 Ph: (603) 434-9666 |
| NPI Number | 1801885256 |
|---|---|
| Provider Enumeration Date | 10/18/2005 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801885256 | NPI | - | NPPES |
| 30214303 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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