MEDICARE: NEPHROLOGY ASSOCIATES, P. A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	RR441391114	OTHER	NH	MEDICARE TRAVELERS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	133	OTHER	NH	CIGNA GROUP
4	50Y387200NH01	OTHER	NH	ANTHEM GROUP

General Provider Information

NPI Number	:	1073630752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEPHROLOGY ASSOCIATES, P. A.

Provider Business Mailing Address
First Line	:	1750 ELM ST
Second Line	:	SUITE 201C
City	:	MANCHESTER
State	:	NH
Zip	:	03104-2903
Country	:	US
Telephone Number	:	603-641-5800
Fax Number	:	603-621-4126

Provider Business Practice Location Address
First Line	:	1750 ELM ST
Second Line	:	SUITE 201C
City	:	MANCHESTER
State	:	NH
Zip	:	03104-2903
Country	:	US
Telephone Number	:	603-641-5800
Fax Number	:	603-621-4126

Authorized Official
Title or Position	:	BUSINESS OFFICE MANAGER
Name	:	BARBARA J RAMOS
Credential	:
Telephone Number	:	603-621-2948

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	03/13/2015

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Directions to “NEPHROLOGY ASSOCIATES, P. A. ” Practice Location

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