Organization
SKILLED MEDICAL PROVIDER GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL P BERGERON MD (MANAGER)
(603) 459-4522
Entity
Organization
Contact information
Practice address
13 SURREY LN, DURHAM, NH 03824-4413
(603) 459-4522
Mailing address
13 SURREY LN, DURHAM, NH 03824-4413
(603) 459-4522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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