Organization
GREAT BAY NEUROSURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN E. PROSTKOFF M.D. (PRESIDENT/CEO/CHAIRMAN OF BOARD/SOL)
(603) 749-0888
Entity
Organization
Contact information
Practice address
750 CENTRAL AVENUE - SUITE H, GREAT BAY NEUROSURGICAL ASSOCIATES, P.A., DOVER, NH 03820-3434
(603) 749-0888
(603) 749-9285
Mailing address
750 CENTRAL AVENUE - SUITE H, GREAT BAY NEUROSURGICAL ASSOCIATES, P.A., DOVER, NH 03820-3434
(603) 749-0888
(603) 749-9285
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
05/26/2009
Last updated
05/26/2009
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