Organization
GRANITE STATE EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN ZAFFINO MD (PRESIDENT MEDICAL DIRECTOR)
(603) 663-6472
Entity
Organization
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-6472
(603) 663-6645
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-6472
(603) 663-6645
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214885
—
NH
01
—
38691
BMC HEALTHNET PLAN
—
01
—
50Y004300NH01
ANTHEM
NH
01
—
612301300
OWCP
—
01
—
625983
TUFTS
—
01
—
7838900
AETNA
—
05
—
9755331
—
MA
01
—
DF6851
RAILROAD MEDICARE
—
Enumeration date
12/12/2006
Last updated
05/04/2008
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