Organization · NPI-2

Ellacoya Medical Services PLLC

Hospitalist · Concord, NH

NPI number1235797564
StatusActive
Last updated in NPPESJun 1, 2019

Details

NPI
1235797564
Entity type
Organization (NPI-2)
Legal business name
Ellacoya Medical Services PLLC
Organization subpart
No
Enumeration date
Jun 1, 2019
Last updated
Jun 1, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist––Yes

Practice location

254 Pleasant St
Concord, NH 03301-2551

Phone 603-266-9800

Mailing address

17 Tarbell Rd
Windham, NH 03087-1170

Phone 603-366-6107

Authorized official

Bassem Azkul
Ceo
6033666107

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Hospitalist providers in Concord, NH