Organization
MEC CONCORD OBS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PANNULLO (MEDICAL DIRECTOR)
(603) 668-2020
Entity
Organization
Contact information
Practice address
250 RIVER RD, MANCHESTER, NH 03104-2423
(603) 668-2020
Mailing address
250 RIVER RD, MANCHESTER, NH 03104-2423
(603) 668-2020
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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