# CONVENIENTMD LLC

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

## Provider details

- **NPI number:** 1114689007
- **Authorized official:** JAROD BOISSONNEAULT (DIRECTOR OF REVENUE CYCLE MGT)
- **Authorized official phone:** (603) 319-6223

## Contact information

- **Practice address:** 1600 WOODBURY AVE, PORTSMOUTH, NH 03801-3250
- **Practice address phone:** (603) 602-9070
- **Mailing address:** 360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
- **Mailing address phone:** (603) 410-6700
- **Mailing address fax:** (603) 319-8308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2021
- **Last updated:** 11/30/2023