# NE GASTRO LLC

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

## Provider details

- **NPI number:** 1811343890
- **Authorized official:** DR. MAURICE B COHEN M.D. (PRESIDENT)
- **Authorized official phone:** (603) 898-5082

## Contact information

- **Practice address:** 52 STILES RD, SUITE 110, SALEM, NH 03079-4879
- **Practice address phone:** (603) 898-5082
- **Practice address fax:** (603) 890-5453
- **Mailing address:** 17 HEARTHSTONE PL, ANDOVER, MA 01810-5422
- **Mailing address phone:** (603) 898-5082
- **Mailing address fax:** (603) 890-5453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 11071 | NH | — |
| 207RG0100X | Gastroenterology Physician | 16572 | NH | — |
| 207RG0100X | Gastroenterology Physician | 207022 | MA | — |
| 207RG0100X | Gastroenterology Physician | 242931 | MA | — |
| 207RG0100X | Gastroenterology Physician | 60421 | MA | Yes |
| 207RG0100X | Gastroenterology Physician | 9119 | NH | — |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 05/10/2016