Organization
FENTON FAMILY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL C FENTON M.D. (PHYSICIAN)
(603) 894-0063
Entity
Organization
Contact information
Practice address
58 RANGE RD, STE. R-03, WINDHAM, NH 03087-2026
(603) 894-0063
(603) 894-9727
Mailing address
58 RANGE RD, STE. R-03, WINDHAM, NH 03087-2026
(603) 894-0063
(603) 894-9727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9962
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M17882
BCBS MASSACHUSETTS
—
Enumeration date
06/20/2008
Last updated
06/20/2008
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