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Organization
PINEWOOD PROFESSIONALS, LLC
Active
Organization
PINEWOOD PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CAUCIS (COO)
(603) 692-3166
Entity
Organization
Contact information
Practice address
255 ROUTE 108, SOMERSWORTH, NH 03878-1543
(603) 692-3166
(603) 692-3168
Mailing address
255 ROUTE 108, SOMERSWORTH, NH 03878-1543
(603) 692-3166
(603) 692-3168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
03546
NH
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/14/2013
Last updated
12/12/2014
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