Organization
ANDROSCOGGIN VALLEY HOSPITAL
Active
Parent organization
ANDROSCOGGIN VALLEY HOSPITAL
Other names
AVH RADIOLOGY GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDROSCOGGIN VALLEY HOSPITAL
Authorized official
MR. RUSSELL KEENE (CEO)
(603) 752-5601
Entity
Organization
Contact information
Practice address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 326-5999
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570-3531
(603) 752-2200
(603) 326-5999
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
00050
NH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
00050
NH
2085N0904X
Nuclear Radiology Physician
00050
NH
2085R0202X
Diagnostic Radiology Physician
00050
NH
2085R0204X
Vascular & Interventional Radiology Physician
00050
NH
2085U0001X
Diagnostic Ultrasound Physician
00050
NH
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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