Organization
ELLACOYA MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEM AZKUL MD (CEO)
(603) 366-6107
Entity
Organization
Contact information
Practice address
254 PLEASANT ST, CONCORD, NH 03301-2551
(603) 266-9800
Mailing address
17 TARBELL RD, WINDHAM, NH 03087-1170
(603) 366-6107
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
06/01/2019
Last updated
06/01/2019
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