Organization
CATHOLIC MEDICAL CENTER PHYSICIAN PRACTICE ASSOCIATES
Active
Organization
CATHOLIC MEDICAL CENTER PHYSICIAN PRACTICE ASSOCIATES
Active
Other names
Granite State Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRE THERRIEN (CONTROLLER)
(603) 663-8779
Entity
Organization
Contact information
Practice address
53 GOFFSTOWN RD, MANCHESTER, NH 03102-2737
(603) 669-7162
(603) 206-1378
Mailing address
53 GOFFSTOWN RD, MANCHESTER, NH 03102-2737
(603) 669-7162
(603) 206-1378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NH
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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