Organization
EXPRESS MED AT SALEM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS VAILAS (OWNER)
(603) 731-5589
Entity
Organization
Contact information
Practice address
159 N BROADWAY, SALEM, NH 03079-2136
(603) 898-0961
Mailing address
55 BRIDGE ST, MANCHESTER, NH 03101-1603
(603) 232-4513
(603) 232-4563
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
02/29/2024
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