Fenton Family Medicine, PLLC
Family Medicine in Windham, NH. Organization (NPI-2).
NPI number1568623676
StatusActive
Last updated in NPPESJun 20, 2008
Details
- NPI
- 1568623676
- Entity type
- Organization (NPI-2)
- Legal business name
- Fenton Family Medicine, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 20, 2008
- Last updated
- Jun 20, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 9962 | NH | Yes |
Practice location
58 Range RdSte. R-03
Windham, NH 03087-2026
Phone 603-894-0063 · Fax 603-894-9727
Mailing address
58 Range RdSte. R-03
Windham, NH 03087-2026
Phone 603-894-0063 · Fax 603-894-9727
Authorized official
Randall C Fenton
Physician
6038940063
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