Organization
TENNEY MOUNTAIN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY REISERT DO (OWNER)
(603) 536-6355
Entity
Organization
Contact information
Practice address
251 MAYHEW TPKE, PLYMOUTH, NH 03264-3026
(603) 536-6355
(603) 536-6356
Mailing address
251 MAYHEW TPKE, PLYMOUTH, NH 03264-3026
(603) 536-6355
(603) 536-6356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9969
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30212992
—
NH
Enumeration date
10/09/2007
Last updated
10/09/2007
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