# AESTHETIC MEDICINE OF NH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710133087
- **Authorized official:** MR. NICHOLAS PAUL VAN LOAN M.D. (BUSINESS OWNER)
- **Authorized official phone:** (603) 224-0808

## Contact information

- **Practice address:** 194 PLEASANT ST, SUITE 12, CONCORD, NH 03301-2952
- **Practice address phone:** (603) 224-0808
- **Practice address fax:** (603) 224-0853
- **Mailing address:** 194 PLEASANT ST, SUITE 12, CONCORD, NH 03301-2952
- **Mailing address phone:** (603) 224-0808
- **Mailing address fax:** (603) 224-0853

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 6630 | NH | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008