# PARKLAND PHYSICIAN SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Main Street Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659414589
- **Authorized official:** KENNETH WASHINGTON (VP)
- **Authorized official phone:** (703) 650-2907

## Contact information

- **Practice address:** 18 PELHAM RD, SALEM, NH 03079-4818
- **Practice address phone:** (603) 894-0500
- **Practice address fax:** (603) 894-0535
- **Mailing address:** 18 PELHAM RD, SALEM, NH 03079-4818
- **Mailing address phone:** (603) 894-0500
- **Mailing address fax:** (603) 894-0535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 02/02/2008