Organization
OPTIVAN OF NEWHAMPSHIRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WILLIAM LINNANE (PRESIDENT)
(603) 753-9442
Entity
Organization
Contact information
Practice address
217 FISHERVILLE RD, PENACOOK, NH 03303-2074
(603) 753-9442
(603) 753-6788
Mailing address
217 FISHERVILLE RD, PENACOOK, NH 03303-2074
(603) 753-9442
(603) 753-6788
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
NH
Other
Enumeration date
03/16/2007
Last updated
08/22/2020
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