# NORTHEAST GASTROENTEROLOGY ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1922199348
- **Authorized official:** NICHOLAS VAILAS (MANAGING MEMBER)
- **Authorized official phone:** (603) 232-4513

## Contact information

- **Practice address:** 2 MANOR PKWY STE 5, SALEM, NH 03079-4871
- **Practice address phone:** (603) 898-5082
- **Practice address fax:** (603) 890-5453
- **Mailing address:** 55 BRIDGE ST, MANCHESTER, NH 03101-1603

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | 60421 | MA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 05/17/2023
