Organization
WAKEFIELD FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS S BADMAN MD (OWNER)
(603) 871-8227
Entity
Organization
Contact information
Practice address
131 MEADOW ST, SANBORNVILLE, NH 03872-4329
(603) 871-8227
(603) 871-8285
Mailing address
131 MEADOW ST, SANBORNVILLE, NH 03872-4329
(603) 871-8227
(603) 871-8285
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8928
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01090954PNH01
ANTHEM
—
01
—
133380
CIGNA
—
05
—
30007719
—
NH
Enumeration date
08/17/2006
Last updated
12/12/2019
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