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445 Cypress St Suite 6 Manchester NH 03103-3600 | |
(603) 669-9450 | |
(603) 669-1858 |
Full Name | |
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Speciality | Internal Medicine |
Location | 445 Cypress St, Manchester, New Hampshire |
Authorized Official Name and Position | Richard P Herman (DIRECTOR OF OPERATION AND FINANCE) |
Authorized Official Contact | 6036634904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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445 Cypress St Suite 6 Manchester NH 03103-3600 Ph: (603) 669-9450 | 445 Cypress St Suite 6 Manchester NH 03103-3600 Ph: (603) 669-9450 |
NPI Number | 1699912139 |
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Provider Enumeration Date | 01/20/2009 |
Last Update Date | 01/20/2009 |
Identifier | Type | State | Issuer |
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1699912139 | NPI | - | NPPES |
RE5600 | Other | NH | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (New Hampshire) | Primary |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |