Organization
GRANITE PHYSIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART GLASSMAN MD (OWNER)
(603) 223-8145
Entity
Organization
Contact information
Practice address
60 COMMERCIAL ST, STE 303, CONCORD, NH 03301-5071
(603) 223-8145
(603) 223-8146
Mailing address
60 COMMERCIAL ST STE 303, CONCORD, NH 03301-5096
(603) 223-8145
(603) 223-8146
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9153
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108625Y0NH01
ANTHEM
NH
05
—
30212423
—
NH
01
—
3435460
AETNA
NH
01
—
70267
CIGNA
NH
01
—
CK8691
RAILROAD MEDICARE
NH
01
—
F63059
HARVARD PILGRIM
NH
05
—
ORE4327
—
VT
Enumeration date
08/18/2006
Last updated
05/15/2019
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