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Organization

SPEARE MEMORIAL HOSPITAL

Active
Other names
TENNEY MOUNTAIN ORTHOPEDICS CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
PETER KRITIKOS (CFO)
(603) 536-1120
Entity
Organization

Contact information

Practice address
19 AVERY ST, PLYMOUTH, NH 03264-1130
(603) 536-5803
Mailing address
PO BOX 32, ANDOVER, NH 03216-0032
(603) 735-6060
(603) 735-6070

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9435
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2874405
CIGNA
NH
05
30211268
NH
01
52028603
ANTHEM
VT
01
758313
TUFTS
NH
01
CG6192
RAILROAD MEDICARE
NH
Enumeration date
07/17/2006
Last updated
08/22/2020
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