Organization
LONDONDERRY GASTROENTEROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK K DETWEILER M.D (OWNER OF PRACTICE)
(603) 744-9430
Entity
Organization
Contact information
Practice address
44 BIRCH ST, SUITE 206, DERRY, NH 03038-2752
(603) 818-4712
(603) 965-4063
Mailing address
44 BIRCH ST, SUITE 206, DERRY, NH 03038-2752
(603) 818-4714
(603) 965-4063
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
6919
NH
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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