| Jared Dunahay, | |
|
6 Tsienneto Rd Ste 300, Derry, NH 03038-1584 | |
| (603) 216-0400 | |
| (603) 216-3800 |
| Full Name | Jared Dunahay |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 6 Tsienneto Rd Ste 300, Derry, New Hampshire |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154708964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 18723 (New Hampshire) | Primary |
| Entity Name | Elliot Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831191659 PECOS PAC ID: 6406743988 Enrollment ID: O20040301000352 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Dunahay, 6 Tsienneto Rd Ste 300, Derry, NH 03038-1584 Ph: (603) 216-0400 | Jared Dunahay, 6 Tsienneto Rd Ste 300, Derry, NH 03038-1584 Ph: (603) 216-0400 |
Sabina Khalid Omar, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6 Tsienneto Rd Ste 300, Derry, NH 03038 Phone: 603-216-0400 Fax: 603-206-3800 | |
Gary T Della Grotta, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43b Birch Street, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175 | |
Ms. Barbara A Brundage, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 43b Birch St, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175 | |
Ms. Karen Lee Morgan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 43b Birch Street, Derry, NH 03038 Phone: 603-434-0327 Fax: 603-437-7175 | |
Dr. Joanna Iris Avena Depasupil, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3 Forest Ridge Rd Apt 233, Derry, NH 03038 Phone: 603-553-6753 |