Healthcare Provider Details

I. General information

NPI: 1265486674
Provider Name (Legal Business Name): ROCKINGHAM INTERNAL MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 01/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 ISLAND POND RD SUITE 3
ATKINSON NH
03811-2128
US

IV. Provider business mailing address

PO BOX 956
HAMPSTEAD NH
03841-0956
US

V. Phone/Fax

Practice location:
  • Phone: 603-362-6288
  • Fax: 603-362-6227
Mailing address:
  • Phone: 603-362-6288
  • Fax: 603-362-6227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: TERRANCE HANLON
Title or Position: PHYSICIAN
Credential: MD
Phone: 603-362-6288