Organization
MINIMALLY INVASIVE SURGERY CENTER OF N.E., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 218-1912
(603) 218-1914
Mailing address
4 HAWTHORNE DR, BEDFORD, NH 03110-6983
(603) 472-8888
(603) 472-9090
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
04/28/2017
Last updated
09/05/2024
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