Organization
PARKLAND PHYSICIAN SERVICES INC
Active
Other names
Parkland Family Practice of Londonderry
Organization subpart
No
Provider details
NPI number
Authorized official
KEN WASHINGTON (VP)
(703) 650-2907
Entity
Organization
Contact information
Practice address
41 BUTTRICK RD, LONDONDERRY, NH 03053-3367
(603) 890-5934
(603) 432-8801
Mailing address
41 BUTTRICK RD, LONDONDERRY, NH 03053-3367
(603) 890-5934
(603) 432-8801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214303
—
NH
05
—
RE3445
—
NH
Enumeration date
10/18/2005
Last updated
01/23/2008
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