Organization
GRANITE STATE GERIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND EDWIN SUAREZ (MEMBER)
(603) 409-0735
Entity
Organization
Contact information
Practice address
635 MAIN ST STE 303, LACONIA, NH 03246-3415
(603) 409-0735
(877) 919-0640
Mailing address
32 HARVEST RUN, GILFORD, NH 03249-6567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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