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NPI Code Detail

MEDICARE: STRINGBRIDGE THERAPEUTICS, LLC

MEDICARE: STRINGBRIDGE THERAPEUTICS, LLC
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1437616869
Entity Type Code : Organization
Provider Name (Legal Business Name) : STRINGBRIDGE THERAPEUTICS, LLC
Provider Business Mailing Address
First Line : PO BOX 83
Second Line :
City : RYE BEACH
State : NH
Zip : 03871-0083
Country : US
Telephone Number : 603-531-4124
Fax Number :
Provider Business Practice Location Address
First Line : 700 LAFAYETTE RD
Second Line :
City : SEABROOK
State : NH
Zip : 03874-6202
Country : US
Telephone Number : 603-474-3750
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : TERENCE CONKLIN
Credential :
Telephone Number : 603-531-4124
Provider Enumeration Date : 02/21/2019
Last Update Date : 02/21/2019

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Directions to “STRINGBRIDGE THERAPEUTICS, LLC ” Practice Location

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