Organization
SUGAR RIVER FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON CHARLES BLACK DNP, APRN (OWNER/ ADMINISTRATOR)
(603) 287-8000
Entity
Organization
Contact information
Practice address
31 PLEASANT ST, SUITE 206, CLAREMONT, NH 03743-3603
(603) 287-8000
(603) 287-8006
Mailing address
31 PLEASANT ST, STE 206, CLAREMONT, NH 03743-3603
(603) 287-8000
(603) 287-8006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
037311-23
NH
Other
Enumeration date
07/23/2013
Last updated
12/11/2013
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