Moultonborough Family Medicine | |
984 Whittier Highway Moultonborough NH 03254 | |
(603) 569-7588 | |
(603) 476-5396 |
Full Name | Moultonborough Family Medicine |
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Speciality | Family Medicine |
Location | 984 Whittier Highway, Moultonborough, New Hampshire |
Authorized Official Name and Position | Jeremy S Roberge (PRESIDENT & CEO) |
Authorized Official Contact | 6035697500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Moultonborough Family Medicine Po Box 750 Moultonborough NH 03254-0750 Ph: (603) 476-2216 | Moultonborough Family Medicine 984 Whittier Highway Moultonborough NH 03254 Ph: (603) 569-7588 |
NPI Number | 1639166077 |
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Provider Enumeration Date | 09/30/2005 |
Last Update Date | 08/02/2022 |
Identifier | Type | State | Issuer |
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1639166077 | NPI | - | NPPES |
3080561 | Medicaid | NH | |
RE8642 | Other | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |