Organization
EMERGENCY PHYSICIANS OF DERRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SCOTT DO (MEDICAL DIRECTOR)
(603) 858-4340
Entity
Organization
Contact information
Practice address
1 PARKLAND DR, DERRY, NH 03038-2746
(603) 421-2220
(603) 421-2223
Mailing address
380 LAFAYETTE RD, HAMPTON, NH 03842-2222
(603) 421-2220
(603) 926-2853
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000037302
BMC HEATLHNET PLAN
—
05
—
30213278
—
NH
01
—
610557200
OWCP
—
01
—
691591
TUFTS
—
01
—
7050638
AETNA
—
05
—
9738801
—
MA
01
—
AA89561
HARVARD PILGRIM
—
01
—
DC6570
RAILROAD MEDICARE
—
Enumeration date
01/19/2007
Last updated
05/17/2020
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