NPI 1689903007 · live from the CMS NPI Registry
Berwick Family Health Center LLC
Family Medicine in Laconia, NH. National Provider Identifier 1689903007, active.
NPI record
| NPI | 1689903007 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 36 Endicott, Laconia, NH 03246 |
| Practice phone | 603-366-7700 |
| Mailing address | Po Box 719, Berwick, ME 03901 |
| Enumerated | December 14, 2009 |
| Last updated | December 14, 2009 |
| Authorized official | Bradley Libenson, Owner And Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 1276 (ME) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.