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Organization

MVAMC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK LEVENSON MD (DIRECTOR)
(603) 624-4366
Entity
Organization

Contact information

Practice address
718 SMYTH RD, MVAMC, MANCHESTER, NH 03104-7004
(603) 624-4366
(603) 629-3263
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
(603) 629-3263

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
011837-23-03
NH
261QF0400X
Federally Qualified Health Center (FQHC)
3283749465
MA

Other

Enumeration date
04/11/2006
Last updated
09/11/2025
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