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Organization

LONDONDERRY PEDIATRICS, PA

Active
Other names
Londonderry Pediatrics, PA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JEANNINE T BAILEY (PRACTICE ADMINISTRATOR)
(603) 425-6276
Entity
Organization

Contact information

Practice address
25 BUTTRICK RD, BLDG. E, LONDONDERRY, NH 03053-3341
(603) 437-1003
(603) 421-0868
Mailing address
25 BUTTRICK RD, BLDG. E, LONDONDERRY, NH 03053-3341
(603) 437-1003
(603) 421-0868

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30212202
NH
Enumeration date
07/10/2006
Last updated
11/12/2009
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