Healthcare Provider Details
I. General information
NPI: 1568584407
Provider Name (Legal Business Name): NEW ERA MEDICINE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/04/2007
Last Update Date: 03/16/2022
Certification Date: 03/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
254 PLEASANT ST
CONCORD NH
03301-2551
US
IV. Provider business mailing address
46 S MAIN ST STE 2
CONCORD NH
03301-4855
US
V. Phone/Fax
- Phone: 603-622-8665
- Fax: 833-413-4978
- Phone: 603-622-8665
- Fax: 833-413-4978
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2081P2900X |
| Taxonomy | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
POWEN
HSU
Title or Position: PRESIDENT
Credential: M.D.
Phone: 603-622-8665