Healthcare Provider Details
I. General information
NPI: 1467485870
Provider Name (Legal Business Name): NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2006
Last Update Date: 01/15/2024
Certification Date: 01/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 PLEASANT ST
CONCORD NH
03301-7559
US
IV. Provider business mailing address
11 KIMBALL DR UNIT 125
HOOKSETT NH
03106-2604
US
V. Phone/Fax
- Phone: 603-622-6484
- Fax:
- Phone: 603-622-6484
- Fax: 603-647-8593
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SARAH
CARIGNAN
Title or Position: IT DIRECTOR
Credential:
Phone: 603-232-8979