| Fenton Family Medicine, Pllc | |
|
58 Range Rd Ste. R-03 Windham NH 03087-2026 | |
| (603) 894-0063 | |
| (603) 894-9727 |
| Full Name | Fenton Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 58 Range Rd, Windham, New Hampshire |
| Authorized Official Name and Position | Randall C Fenton (PHYSICIAN) |
| Authorized Official Contact | 6038940063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenton Family Medicine, Pllc 58 Range Rd Ste. R-03 Windham NH 03087-2026 Ph: (603) 894-0063 | Fenton Family Medicine, Pllc 58 Range Rd Ste. R-03 Windham NH 03087-2026 Ph: (603) 894-0063 |
| NPI Number | 1568623676 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568623676 | NPI | - | NPPES |
| M17882 | Other | BCBS MASSACHUSETTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9962 (New Hampshire) | Primary |
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