Healthcare Provider Details

I. General information

NPI: 1154584423
Provider Name (Legal Business Name): BIJOY L KUNDU MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 09/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MCGREGOR ST STE 104
MANCHESTER NH
03102-3732
US

IV. Provider business mailing address

88 MCGREGOR ST STE 104
MANCHESTER NH
03102-3732
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-3350
  • Fax: 603-222-2319
Mailing address:
  • Phone: 603-668-3350
  • Fax: 603-222-2319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5387
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5387
License Number StateNH

VIII. Authorized Official

Name: DR. BIJOY L KUNDU
Title or Position: PRINCIPAL
Credential: MD
Phone: 603-668-3350