| Derryfield Medical Group | |
|
275 Mammoth Rd Ste 4 Derryfield Medical Group Manchester NH 03109-4133 | |
| (603) 624-4380 | |
| (603) 624-4805 |
| Full Name | Derryfield Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 275 Mammoth Rd Ste 4, Manchester, New Hampshire |
| Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 6036635766 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Derryfield Medical Group 275 Mammoth Rd Ste 4 Derryfield Medical Group Manchester NH 03109-4133 Ph: (603) 624-4380 | Derryfield Medical Group 275 Mammoth Rd Ste 4 Derryfield Medical Group Manchester NH 03109-4133 Ph: (603) 624-4380 |
| NPI Number | 1205821295 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205821295 | NPI | - | NPPES |
| 30210576 | Medicaid | NH | |
| CG2227 | Other | NH | RR MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Kenneth D. Thomas, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Tarrytown Rd, Kenneth D. Thomas, Md, Manchester, NH 03103 Phone: 603-622-7548 Fax: 603-622-4369 | |
Va Medical Center-manchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 Smyth Rd, Manchester, NH 03104 Phone: 603-624-4366 Fax: 603-626-6554 | |
Elliot Bay Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Elliot Way Ste 102, Elliot Bay Medical Associates, Manchester, NH 03103 Phone: 603-626-5900 Fax: 603-625-2180 | |
Elliot Family Medicine At Manchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Elliot Way, Suite 100, Elliot Family Medicine At Manchester, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
Granite State Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Tarrytown Rd, Granite State Medical Center, Manchester, NH 03103 Phone: 603-626-5113 Fax: 603-622-5298 | |
Farnum Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Lake Ave Ste 2, Manchester, NH 03103 Phone: 603-622-3020 | |
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 |