Organization
OCIUS CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON C BLACK DNP, FNP-BC (OWNER)
(603) 287-1717
Entity
Organization
Contact information
Practice address
52 OPERA HOUSE SQ, CLAREMONT, NH 03743-5407
(603) 287-1717
(603) 287-1410
Mailing address
111 US ROUTE 4A, LEBANON, NH 03766-2119
(603) 287-1717
(603) 287-1410
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
037311-23
NH
Other
Enumeration date
05/10/2012
Last updated
07/30/2012
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