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Organization

AESTHETIC MEDICINE OF NH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NICHOLAS PAUL VAN LOAN M.D. (BUSINESS OWNER)
(603) 224-0808
Entity
Organization

Contact information

Practice address
194 PLEASANT ST, SUITE 12, CONCORD, NH 03301-2952
(603) 224-0808
(603) 224-0853
Mailing address
194 PLEASANT ST, SUITE 12, CONCORD, NH 03301-2952
(603) 224-0808
(603) 224-0853

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6630
NH

Other

Enumeration date
08/18/2008
Last updated
08/18/2008
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