# AFFIRM MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Affirm Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780250738
- **Authorized official:** DR. BENJAMIN BOH D.O. (OWNER)
- **Authorized official phone:** (603) 276-0024

## Contact information

- **Practice address:** 20 W PARK ST STE 421, LEBANON, NH 03766-6308
- **Practice address phone:** (603) 276-0024
- **Mailing address:** 20 W PARK ST STE 421, LEBANON, NH 03766-6308
- **Mailing address phone:** (603) 276-0024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/01/2021
- **Last updated:** 06/01/2021
