Individual
ERIC E VELASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
264 PLEASANT ST, CONCORD, NH 03301-2551
(603) 224-3368
(603) 224-7815
Mailing address
264 PLEASANT ST, CONCORD, NH 03301-2551
(603) 224-3368
(603) 224-7815
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1070
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100415
—
NH
Enumeration date
02/04/2015
Last updated
10/08/2024
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