Organization
NH ENDOVASCULAR PROFESSIONAL ASSOCIATES LLC
Active
Parent organization
CARDIOTHORACIC SURGICAL ASSOCIATES, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDIOTHORACIC SURGICAL ASSOCIATES, PA
Authorized official
YVON BARIBEAU (PRESIDENT)
(603) 663-6340
Entity
Organization
Contact information
Practice address
100 MCGREGOR ST, SUITE B600A, MANCHESTER, NH 03102-3730
(603) 663-6340
Mailing address
100 MCGREGOR ST, SUITE B600A, MANCHESTER, NH 03102-3730
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE242601
MEDICARE GROUP NUMBER
NH
Enumeration date
10/13/2009
Last updated
01/20/2011
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