NPI 1851782312 · live from the CMS NPI Registry
Londonderry Gastroenterology Associates PA
Internal Medicine, Gastroenterology in Derry, NH. National Provider Identifier 1851782312, active.
NPI record
| NPI | 1851782312 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 44 Birch St, Suite 206, Derry, NH 03038 |
| Practice phone | 603-818-4712 |
| Enumerated | February 5, 2015 |
| Last updated | February 5, 2015 |
| Authorized official | Mark Detweiler, Owner Of Practice |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | 6919 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.