Convenientmd LLC
Family Medicine in Exeter, NH. Organization (NPI-2).
NPI number1801501622
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1801501622
- Entity type
- Organization (NPI-2)
- Legal business name
- Convenientmd LLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
21 Hampton Rd Ste 201Exeter, NH 03833-4800
Phone 603-519-3092
Mailing address
111 Nh AvePortsmouth, NH 03801-2864
Phone 603-410-6700
Authorized official
Jarod Boissonneault
Vp, Revenue Cycle Mgt
6033196223
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