Organization
GATEWAY HILLS HEALTH CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT MICHAEL DISPENSA SR. (CEO)
(603) 821-9168
Entity
Organization
Contact information
Practice address
100 INNOVATIVE WAY, NASHUA, NH 03062-5748
(603) 821-9168
Mailing address
100 INNOVATIVE WAY, NASHUA, NH 03062-5748
(603) 821-9168
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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