Organization
NORTHEAST SURGICAL CARE OF NEWINGTON, LLC
Active
Other names
Northeast Surgical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CLENDENIN (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
2299 WOODBURY AVENUE, SUITE 5, NEWINGTON, NH 03801-7854
(603) 431-5563
(603) 431-2544
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
02754
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30622341
—
NH
Enumeration date
06/17/2005
Last updated
09/07/2023
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