| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 7 Prospect St, Nashua, New Hampshire |
| Authorized Official Name and Position | Gregory White (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6036592494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
207 S Main St Newmarket NH 03857-1843 Ph: (603) 659-3106 | 7 Prospect St Nashua NH 03060-3921 Ph: (603) 659-3106 |
| NPI Number | 1689993891 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 03/22/2019 |
| Medicare PECOS PAC ID | 3577535319 |
|---|---|
| Medicare Enrollment ID | O20101021000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689993891 | NPI | - | NPPES |
| 3073140 | Medicaid | NH |
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