Organization
TIMBERLINE RADIOLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CLAIRE PATRICIA MESERVE (BILLING MANAGER)
(603) 860-8674
Entity
Organization
Contact information
Practice address
24 PLEASANT ST, SUITE 1A, CONWAY, NH 03818-6151
(603) 860-8674
(603) 447-4310
Mailing address
PO BOX 2048, CONWAY, NH 03818-2048
(160) 386-0867
(160) 344-7431
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y002516NH02
ANTHEM-PROV.#
—
05
—
30212757
—
NH
01
—
708220
CIGNA-PROV.#
—
Enumeration date
11/03/2005
Last updated
08/22/2020
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