Londonderry Gastroenterology Associates Pa

LBN: Londonderry Gastroenterology Associates Pa
Londonderry Gastroenterology Associates Pa is an health care organization with primary practice located at 1B Commons Dr Unit 9A, Londonderry NH 03053-3441. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Londonderry Gastroenterology Associates Pa can be contacted via phone (603) 818-4712, or through Detweiler, Mark Kenneth via phone (603) 818-4712.

Contact Information

Primary practice address
1B Commons Dr Unit 9A Londonderry NH 03053-3441
Phone: (603) 818-4712
Fax: (603) 421-6899
Website:
Map and Directions
Authorized official contact:
Name: Detweiler, Mark Kenneth Doctor of Medicine (MD)
Phone: (603) 818-4712

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 6919 New Hampshire

Profile Details

NPI number 1851318281
LBN Legal business name Londonderry Gastroenterology Associates Pa
DBA Doing business as
Authorized official Detweiler, Mark Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Oct 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851318281 NPPES
New Hampshire MEDICAID 80001279

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