Organization
NEUROLOGY ASSOCIATES OF SOUTHERN NH,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL R BOTSFORD JR. MD (TREASURER)
(603) 669-0859
Entity
Organization
Contact information
Practice address
769 S MAIN ST, SUITE 101, MANCHESTER, NH 03102-5166
(603) 669-0859
Mailing address
769 S MAIN ST, SUITE 101, MANCHESTER, NH 03102-5166
(603) 669-0859
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6124
NH
174400000X
Specialist
6351
NH
174400000X
Specialist
Primary
7865
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81130401
—
NH
05
—
81130402
—
NH
05
—
81136923
—
NH
Enumeration date
05/23/2007
Last updated
08/22/2020
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