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Organization

GRANITE STATE SURGICAL ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN CRATHERN M.D. (PRESIDENT)
(603) 273-0006
Entity
Organization

Contact information

Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 273-0006
(603) 273-0010
Mailing address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 273-0006
(603) 273-0010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6961
CIGNA
NH
05
80001659
NH
01
95Y003427NH01
ANTHEM
NH
Enumeration date
11/09/2006
Last updated
05/16/2008
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