| Hanover Continuity Clinic, Pllc | |
|
45 Lyme Rd Suite 104 Hanover NH 03755-1220 | |
| (603) 643-3320 | |
| (603) 643-3301 |
| Full Name | Hanover Continuity Clinic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 45 Lyme Rd, Hanover, New Hampshire |
| Authorized Official Name and Position | Adam Jules Schwarz (PARTNER) |
| Authorized Official Contact | 6036433320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Continuity Clinic, Pllc 45 Lyme Rd Suite 104 Hanover NH 03755-1219 Ph: (603) 643-3320 | Hanover Continuity Clinic, Pllc 45 Lyme Rd Suite 104 Hanover NH 03755-1220 Ph: (603) 643-3320 |
| NPI Number | 1588867667 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 11/20/2015 |
| Medicare PECOS PAC ID | 1759487481 |
|---|---|
| Medicare Enrollment ID | O20070427000406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588867667 | NPI | - | NPPES |
| 10169 | Other | NH | MEDICAL LICENCE NUMBER |
| 12968 | Other | NH | LICENSE |
| 0000467 | Other | NH | MEDICARE PTAN |
| 420011112 | Other | VT | MEDICAL LICENCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10169 (New Hampshire) | Primary |
| Provider Name | Adam J Schwarz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477594752 PECOS PAC ID: 3577517192 Enrollment ID: I20050308000098 |
| Provider Name | Christine R Medora |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093827446 PECOS PAC ID: 7911923560 Enrollment ID: I20051021000837 |
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