Organization
EYE ANESTHESIA OF CONCORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN M SERRATORE (ADMINISTRATOR)
(603) 228-1104
Entity
Organization
Contact information
Practice address
246 PLEASANT ST, SUITE 105 B, CONCORD, NH 03301-2548
(603) 224-6503
Mailing address
246 PLEASANT ST, SUITE 105 B, CONCORD, NH 03301-2548
(603) 224-6503
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30211319
—
NH
01
—
57942
CIGNA GROUP ID
NH
01
—
CH6643
RR MEDICARE GROUP ID
NH
Enumeration date
01/17/2006
Last updated
03/04/2010
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