MEDICARE: DIGNITY MEDICAL SERVICES 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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1932807948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIGNITY MEDICAL SERVICES LLC

Provider Business Mailing Address
First Line	:	500 N COMMERCIAL ST STE 502
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-1151
Country	:	US
Telephone Number	:	603-270-9215
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N COMMERCIAL ST STE 502
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03101-1151
Country	:	US
Telephone Number	:	603-270-9215
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KARLA OREA
Credential	:
Telephone Number	:	603-270-9215

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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Directions to “DIGNITY MEDICAL SERVICES LLC ” Practice Location

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