Organization
GEROMED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAULINE M MERIDIEN (CORPORATE SECRETARY)
(603) 746-4164
Entity
Organization
Contact information
Practice address
334 COLLEGE HILL RD, HOPKINTON, NH 03229-3404
(603) 746-4164
(603) 746-3522
Mailing address
334 COLLEGE HILL RD, HOPKINTON, NH 03229-3404
(603) 746-4164
(603) 746-3522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11415
NH
2084P0800X
Psychiatry Physician
Primary
6975
NH
2084P0805X
Geriatric Psychiatry Physician
6975
NH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
6975
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0560732308
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80001737
—
NH
Enumeration date
06/23/2006
Last updated
07/31/2007
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