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Organization
PHILIP C. STEBBINS
Active
Organization
PHILIP C. STEBBINS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP C. STEBBINS M.D. (MEDICAL DIRECTOR)
(603) 401-6109
Entity
Organization
Contact information
Practice address
184 MAMMOTH RD, SUITE D, LONDONDERRY, NH 03053-3254
(603) 965-4473
(978) 299-0121
Mailing address
184 MAMMOTH RD, SUITE D, LONDONDERRY, NH 03053-3254
(603) 965-4473
(978) 299-0121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NH6432
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212761
—
NH
01
—
M18586
BCBSMA GROUP
MA
Enumeration date
06/20/2007
Last updated
09/24/2010
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