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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