| Llc | |
|
330 Borthwick Ave Suite 210 Portsmouth NH 03801 | |
| (603) 436-5455 | |
| (603) 433-1985 |
| Full Name | Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 330 Borthwick Ave, Portsmouth, New Hampshire |
| Authorized Official Name and Position | Thomas P Clairmont (OWNER) |
| Authorized Official Contact | 6034365455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Llc 330 Borthwick Ave Suite 210 Portsmouth NH 03801 Ph: (603) 436-5455 | Llc 330 Borthwick Ave Suite 210 Portsmouth NH 03801 Ph: (603) 436-5455 |
| NPI Number | 1083780324 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 11/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083780324 | NPI | - | NPPES |
| 30210770 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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