Organization
EXPRESSMED, LLC
Active
Organization
EXPRESSMED, LLC
Active
Parent organization
EXPRESSMED, LLC
Other names
North Country Medical and Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXPRESSMED, LLC
Authorized official
NICHOLAS VAILAS (MANAGING MEMBER)
(603) 622-3670
Entity
Organization
Contact information
Practice address
152 COLBY STREET, COLEBROOK, NH 03576
(603) 331-0500
Mailing address
700 LAKE AVE, STE 2, MANCHESTER, NH 03103
(603) 782-8374
(603) 782-5123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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