Organization
CENTRAL NEW HAMPSHIRE KIDNEY CENTER,LLC
Active
Organization
CENTRAL NEW HAMPSHIRE KIDNEY CENTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOSHI A ISHAK MD (CEO MEDICAL DIRECTOR)
(603) 528-3738
Entity
Organization
Contact information
Practice address
87 SPRING STREET, LACONIA, NH 03246
(603) 528-3738
(603) 524-8796
Mailing address
87 SPRING STREET, LACONIA, NH 03246
(603) 528-3738
(603) 524-8796
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1641
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007939
—
NH
Enumeration date
03/20/2007
Last updated
12/14/2010
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