Organization
ELYSIDE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BOWLES (MANAGER)
(603) 506-6678
Entity
Organization
Contact information
Practice address
15 CONSTITUTION DR STE 154, BEDFORD, NH 03110-6042
(603) 506-6678
Mailing address
51 S BROADWAY UNIT 749, SALEM, NH 03079-7629
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/28/2025
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