Organization
SPEARE MEMORIAL HOSPITAL
Active
Other names
Gennaro Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MCEWEN (CEO)
(603) 536-1120
Entity
Organization
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 536-1120
Mailing address
PO BOX 32, ANDOVER, NH 03216-0032
(603) 735-6060
(877) 521-6764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30218836
—
NH
Enumeration date
04/07/2011
Last updated
09/27/2011
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