| Granite State Medical Center | |
|
190 Tarrytown Rd Granite State Medical Center Manchester NH 03103-2713 | |
| (603) 626-5113 | |
| (603) 622-5298 |
| Full Name | Granite State Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 190 Tarrytown Rd, Manchester, New Hampshire |
| Authorized Official Name and Position | Richard P. Herman (DIRECTOR OF OPERATIONS & FINANCE) |
| Authorized Official Contact | 6036634904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Granite State Medical Center 190 Tarrytown Rd Granite State Medical Center Manchester NH 03103-2713 Ph: (603) 626-5113 | Granite State Medical Center 190 Tarrytown Rd Granite State Medical Center Manchester NH 03103-2713 Ph: (603) 626-5113 |
| NPI Number | 1063403996 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 06/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063403996 | NPI | - | NPPES |
| CG2227 | Other | NH | RR MEDICARE GROUP # |
| 30210580 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
News Archive
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