Organization
GRANITE STATE EMERGENCY PHYSICIANS PC
Active
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
Update your record
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