Organization
PEAK INTERNAL MEDICINE ASSOC PLLC
Active
Organization
PEAK INTERNAL MEDICINE ASSOC PLLC
Active
Other names
Peak Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIE HATZOS MD (PROPRIETOR)
(603) 890-0266
Entity
Organization
Contact information
Practice address
127 ROCKINGHAM RD, STE 103, WINDHAM, NH 03087-1360
(603) 890-0266
(603) 890-0267
Mailing address
127 ROCKINGHAM RD, STE 103, WINDHAM, NH 03087-1360
(603) 890-0266
(603) 890-0267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10943
NH
332900000X
Non-Pharmacy Dispensing Site
10943
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3007021
OTHER ID NUMBER-COMMERCIAL NUMBER
—
05
—
30200876
—
NH
05
—
30212498
—
NH
Enumeration date
10/23/2006
Last updated
01/07/2008
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