Organization
WEYMOUTH SURGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L WEYMOUTH M.D., D.O. (OWNER)
(603) 818-8914
Entity
Organization
Contact information
Practice address
44 BIRCH ST, SUITE 206, DERRY, NH 03038-2752
(603) 965-4505
(603) 965-4063
Mailing address
44 BIRCH ST, SUITE 206, DERRY, NH 03038-2752
(603) 965-4505
(603) 965-4063
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12895
NH
208600000X
Surgery Physician
219696
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30224519
—
NH
Enumeration date
11/23/2011
Last updated
04/10/2014
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