Organization
CONCORD GASTROENTEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARJORIE A STEVENS (PRACTICE MANAGER)
(603) 228-1763
Entity
Organization
Contact information
Practice address
60 COMMERCIAL ST, SUITE 404, CONCORD, NH 03301-5071
(603) 228-1763
(603) 228-7088
Mailing address
60 COMMERCIAL ST, SUITE 404, CONCORD, NH 03301-5071
(603) 228-1763
(603) 228-7088
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41110232
—
NH
Enumeration date
06/21/2006
Last updated
08/22/2020
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