Peak Internal Medicine Assoc Pllc | |
127 Rockingham Rd Ste 103 Windham NH 03087-1360 | |
(603) 890-0266 | |
(603) 890-0267 |
Full Name | Peak Internal Medicine Assoc Pllc |
---|---|
Speciality | Internal Medicine |
Location | 127 Rockingham Rd, Windham, New Hampshire |
Authorized Official Name and Position | Lisa Marie Hatzos (PROPRIETOR) |
Authorized Official Contact | 6038900266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Peak Internal Medicine Assoc Pllc 127 Rockingham Rd Ste 103 Windham NH 03087-1360 Ph: (603) 890-0266 | Peak Internal Medicine Assoc Pllc 127 Rockingham Rd Ste 103 Windham NH 03087-1360 Ph: (603) 890-0266 |
NPI Number | 1275616500 |
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Provider Enumeration Date | 10/23/2006 |
Last Update Date | 01/07/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275616500 | NPI | - | NPPES |
3007021 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
30200876 | Medicaid | NH | |
30212498 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10943 (New Hampshire) | Primary |
332900000X | Non-pharmacy Dispensing Site | 10943 (New Hampshire) | Secondary |
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Elliot Peak Internal Medicine At Windham Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Rockingham Rd Ste 103, Elliot Peak Internal Medicine At Windham, Windham, NH 03087 Phone: 603-890-0266 Fax: 603-890-0267 |