Organization
APPLEDORE MEDICAL GROUP, INC.
Active
Other names
dba Mark Henschke DO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK BIRMINGHAM (DIRECTOR)
(615) 373-7625
Entity
Organization
Contact information
Practice address
2064 WOODBURY AVE, SUITE 102, NEWINGTON, NH 03801-7801
(603) 766-8130
(603) 766-8131
Mailing address
2064 WOODBURY AVE, SUITE 102, NEWINGTON, NH 03801-7801
(603) 766-8130
(603) 766-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14235000
—
ME
Enumeration date
10/19/2005
Last updated
08/07/2007
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