| Parkland Family Practice Of Derry | |
|
44 Birch St Suite 200 Derry NH 03038-2752 | |
| (603) 421-2432 | |
| (603) 421-2435 |
| Full Name | Parkland Family Practice Of Derry |
|---|---|
| Speciality | Family Medicine |
| Location | 44 Birch St, Derry, New Hampshire |
| Authorized Official Name and Position | Kenneth Washington (VICE PRESIDENT) |
| Authorized Official Contact | 7036502907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkland Family Practice Of Derry 44 Birch St Suite 200 Derry NH 03038-2752 Ph: (603) 421-2432 | Parkland Family Practice Of Derry 44 Birch St Suite 200 Derry NH 03038-2752 Ph: (603) 421-2432 |
| NPI Number | 1134118318 |
|---|---|
| Provider Enumeration Date | 10/19/2005 |
| Last Update Date | 01/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134118318 | NPI | - | NPPES |
| 30214303 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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