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Organization

PARKLAND PHYSICIAN SERVICES INC

Active
Other names
Main Street Medical Associates
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH WASHINGTON (VP)
(703) 650-2907
Entity
Organization

Contact information

Practice address
18 PELHAM RD, SALEM, NH 03079-4818
(603) 894-0500
(603) 894-0535
Mailing address
18 PELHAM RD, SALEM, NH 03079-4818
(603) 894-0500
(603) 894-0535

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
207RN0300X
Nephrology Physician
208M00000X
Hospitalist Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30214303
NH
Enumeration date
02/14/2007
Last updated
02/02/2008
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