Organization
PARKLAND PHYSICIAN SERVICES, INC
Active
Other names
DBA Dr. Alphonse J. Baluta, Jr.
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH WASHINGTON (VP)
(703) 650-2907
Entity
Organization
Contact information
Practice address
184 MAMMOTH RD, LONDONDERRY, NH 03053-3254
(603) 434-9666
(603) 425-2973
Mailing address
184 MAMMOTH RD, LONDONDERRY, NH 03053-3254
(603) 434-9666
(603) 425-2973
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30214303
—
NH
Enumeration date
10/18/2005
Last updated
04/20/2008
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