Organization
IDOC TELEHEALTH SOLUTIONS NEW HAMPSHIRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ANN RENTERIA (MANAGER)
(346) 633-8153
Entity
Organization
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(346) 633-8153
Mailing address
1 GATEWAY CTR STE 507, NEWTON, MA 02458-2802
(713) 913-1422
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
363LC0200X
Critical Care Medicine Nurse Practitioner
—
—
Other
Enumeration date
02/21/2022
Last updated
08/23/2023
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