Clearchoicemd

NPI 1194120691 - Clinic/Center - 261QU0200X

NPI Details
NPI 1194120691
Enumeration Date 10/27/2014
Last Updated 10/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANDREW A ANDREW
Position REGIONAL MANAGER
Phone (603) 276-3261
Fax
Practice Location
422 MIRACLE MILE RD
LEBANON NH, 03756, US
Phone (603) 276-3261
Fax
Business Location
74 PLEASANT ST
SUITE 204
NEW LONDON NH, 03257-5881, US
Phone (603) 526-4635
Fax
Toxanomy
Taxonomy Code 261QU0200X
License State New Hampshire
License Number 9805
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According to our database, Clearchoicemd NPI is 1194120691, taxonomy code is 261QU0200X and license number is 9805, license state is located at New Hampshire. Clearchoicemd physically located at 422 Miracle Mile Rd, Lebanon NH, 03756. NPI Number 1033115704 has the healthcare provider type.

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1194120691 NPI number is provided on an as is basis without warranty of any kind. 1194120691 is maintained by the National Plan & Provider Enumeration System. The contents of Clearchoicemd are for informational purposes only.