| Medicine At Your Door, Llc | |
|
40 Hibiscus Way Nashua NH 03062-3088 | |
| (734) 718-0196 | |
| Not Available |
| Full Name | Medicine At Your Door, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 40 Hibiscus Way, Nashua, New Hampshire |
| Authorized Official Name and Position | Safwan Kazmouz (OWNER/PROVIDER) |
| Authorized Official Contact | 7347180196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicine At Your Door, Llc 40 Hibiscus Way Nashua NH 03062-3088 Ph: (734) 718-0196 | Medicine At Your Door, Llc 40 Hibiscus Way Nashua NH 03062-3088 Ph: (734) 718-0196 |
| NPI Number | 1548690092 |
|---|---|
| Provider Enumeration Date | 11/20/2013 |
| Last Update Date | 08/01/2024 |
| Medicare PECOS PAC ID | 6204065782 |
|---|---|
| Medicare Enrollment ID | O20140203000782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548690092 | NPI | - | NPPES |
| 30209553 | Medicaid | NH | |
| 3095219 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 14925 (New Hampshire) | Primary |
| Provider Name | Safwan Kazmouz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245238922 PECOS PAC ID: 8022057074 Enrollment ID: I20100714000212 |
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