Organization
MRSRD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE RENEE SMITH RD, CDOE (OWNER)
(401) 556-9396
Entity
Organization
Contact information
Practice address
50 EMERSON RD, MILFORD, NH 03055-3516
(401) 556-9396
(603) 487-1419
Mailing address
PO BOX 584, NEW BOSTON, NH 03070-0584
(401) 556-9396
(603) 487-1419
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
0660
NH
Other
Enumeration date
10/17/2012
Last updated
01/29/2013
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