Organization
DIAMOND EDGE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A WENTZELL NP (MEMBER)
(603) 566-4493
Entity
Organization
Contact information
Practice address
10 RESEARCH PL STE 202, NORTH CHELMSFORD, MA 01863-2439
(978) 275-1390
(978) 275-1394
Mailing address
6 CHENEY DR, HUDSON, NH 03051-3903
(603) 566-4493
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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