Healthcare Provider Details

I. General information

NPI: 1235062613
Provider Name (Legal Business Name): SUNAPEE HARBOR HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HOLMES LN
SUNAPEE NH
03782-3038
US

IV. Provider business mailing address

6 HOLMES LN
SUNAPEE NH
03782-3038
US

V. Phone/Fax

Practice location:
  • Phone: 603-384-3684
  • Fax: 603-316-3038
Mailing address:
  • Phone: 603-384-3684
  • Fax: 603-316-3038

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: BENJAMIN HOLOBOWICZ JR.
Title or Position: OWNER
Credential:
Phone: 603-384-3684