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Organization
PARKLAND PHYSICIAN SERVICES INC
Active
Organization
PARKLAND PHYSICIAN SERVICES INC
Active
Other names
Parkland Family Practice of Derry
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WASHINGTON (VICE PRESIDENT)
(703) 650-2907
Entity
Organization
Contact information
Practice address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-2432
(603) 421-2435
Mailing address
44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
(603) 421-2432
(603) 421-2435
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214303
—
NH
Enumeration date
10/19/2005
Last updated
01/23/2008
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