Medicine At Your Door, Llc | |
18 Rockland Rd Concord NH 03301-3134 | |
(734) 718-0196 | |
Not Available |
Full Name | Medicine At Your Door, Llc |
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Speciality | Family Medicine |
Location | 18 Rockland Rd, Concord, New Hampshire |
Authorized Official Name and Position | Safwan Kazmouz (OWNER/PROVIDER) |
Authorized Official Contact | 7347180196 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medicine At Your Door, Llc 18 Rockland Rd Concord NH 03301-3134 Ph: (734) 718-0196 | Medicine At Your Door, Llc 18 Rockland Rd Concord NH 03301-3134 Ph: (734) 718-0196 |
NPI Number | 1548690092 |
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Provider Enumeration Date | 11/20/2013 |
Last Update Date | 11/20/2013 |
Medicare PECOS PAC ID | 6204065782 |
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Medicare Enrollment ID | O20140203000782 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548690092 | NPI | - | NPPES |
30209553 | Medicaid | NH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | 14925 (New Hampshire) | Primary |
Provider Name | Safwan Kazmouz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245238922 PECOS PAC ID: 8022057074 Enrollment ID: I20100714000212 |
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