| Londonderry Gastroenterology Associates Pa | |
|
44 Birch St Suite 206 Derry NH 03038-2752 | |
| (603) 818-4712 | |
| (603) 965-4063 |
| Full Name | Londonderry Gastroenterology Associates Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 44 Birch St, Derry, New Hampshire |
| Authorized Official Name and Position | Mark K Detweiler (OWNER OF PRACTICE) |
| Authorized Official Contact | 6037449430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Londonderry Gastroenterology Associates Pa 44 Birch St Suite 206 Derry NH 03038-2752 Ph: (603) 818-4714 | Londonderry Gastroenterology Associates Pa 44 Birch St Suite 206 Derry NH 03038-2752 Ph: (603) 818-4712 |
| NPI Number | 1851782312 |
|---|---|
| Provider Enumeration Date | 02/05/2015 |
| Last Update Date | 02/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851782312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 6919 (New Hampshire) | Primary |
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