Organization
MANCHESTER UROLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MACMULLIN (PRACTICE ADMINISTRATOR)
(603) 669-9200
Entity
Organization
Contact information
Practice address
4 ELLIOT WAY, SUITE 200, MANCHESTER, NH 03103-3547
(603) 669-9200
Mailing address
4 ELLIOT WAY, SUITE 200, MANCHESTER, NH 03103-3547
(603) 669-9200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0827
NH
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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