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Organization
SUNCOOK FAMILY HEALTH CENTER PA
Active
Organization
SUNCOOK FAMILY HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD J HEVERN MD (PRESIDENT)
(603) 485-7861
Entity
Organization
Contact information
Practice address
50 PINEWOOD ROAD, ALLENSTOWN, NH 03275-9001
(603) 485-7861
(603) 485-2437
Mailing address
PO BOX 9001, SUNCOOK, NH 03275-9001
(603) 485-7861
(603) 485-2437
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
—
30002831
—
NH
01
—
50Y690200NH01
ANTHEM
—
Enumeration date
10/18/2005
Last updated
08/22/2020
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