Organization
CENTRAL NEW HAMPSHIRE NEPHROLOGY CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NOSHI A. ISHAK M.D. (MEDICAL DIRECTOR)
(603) 524-8896
Entity
Organization
Contact information
Practice address
87 SPRING ST, LACONIA, NH 03246-3156
(603) 524-8896
(603) 524-8796
Mailing address
87 SPRING ST, LACONIA, NH 03246-3156
(603) 524-8896
(603) 524-8796
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RE4253
MEDICARE OLD PIN
NH
Enumeration date
12/17/2007
Last updated
06/03/2011
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