NPI 1174569644 · live from the CMS NPI Registry
Concord Gastroenterology PA
Internal Medicine, Gastroenterology in Concord, NH. National Provider Identifier 1174569644, active.
NPI record
| NPI | 1174569644 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 60 Commercial St, Suite 404, Concord, NH 03301 |
| Practice phone | 603-228-1763 |
| Enumerated | June 21, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Marjorie Stevens, Practice Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.