# WAKEFIELD FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053424440
- **Authorized official:** DENNIS S BADMAN MD (OWNER)
- **Authorized official phone:** (603) 871-8227

## Contact information

- **Practice address:** 131 MEADOW ST, SANBORNVILLE, NH 03872-4329
- **Practice address phone:** (603) 871-8227
- **Practice address fax:** (603) 871-8285
- **Mailing address:** 131 MEADOW ST, SANBORNVILLE, NH 03872-4329
- **Mailing address phone:** (603) 871-8227
- **Mailing address fax:** (603) 871-8285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 8928 | NH | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 12/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01090954PNH01 | ANTHEM | — |
| 01 | — | 133380 | CIGNA | — |
| 05 | — | 30007719 | — | NH |