# PARKLAND PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Parkland Family Practice of Derry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134118318
- **Authorized official:** KENNETH WASHINGTON (VICE PRESIDENT)
- **Authorized official phone:** (703) 650-2907

## Contact information

- **Practice address:** 44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
- **Practice address phone:** (603) 421-2432
- **Practice address fax:** (603) 421-2435
- **Mailing address:** 44 BIRCH ST, SUITE 200, DERRY, NH 03038-2752
- **Mailing address phone:** (603) 421-2432
- **Mailing address fax:** (603) 421-2435

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2005
- **Last updated:** 01/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30214303 | — | NH |