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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