Bay Medical Associates, P.A.
Internal Medicine in Manchester, NH. Organization (NPI-2).
NPI number1891728093
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1891728093
- Entity type
- Organization (NPI-2)
- Legal business name
- Bay Medical Associates, P.A.
- Organization subpart
- No
- Enumeration date
- Jul 9, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
4 Elliot WaySuite 102
Manchester, NH 03103-3547
Phone 603-626-5900 · Fax 603-625-2180
Mailing address
4 Elliot WaySuite 102
Manchester, NH 03103-3547
Phone 603-626-5900 · Fax 603-625-2180
Authorized official
Peter Q Kachavos
Treasurer
6036265900
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