MY FRIEND'S GYNECOLOGIST LLC NPI 1568704567

NPI Information

MY FRIEND'S GYNECOLOGIST LLC is a medical specialty clinic center in Dover, NH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MY FRIEND'S GYNECOLOGIST LLC NPI is 1568704567. The provider is registered as an organization entity type.

The provider's business location address is:

839 CENTRAL AVE
SUITE ONE
DOVER, NH
ZIP 03820-506
Phone: (603) 516-0000
Fax: (603) 516-5001

The provider's authorized official is Teresa Marie Vanderlinde .
The authorized official title is Managing Partner and has the following contact phone number (603) 516-0000.

The CLIA number assigned to this NPI record is 20D1013346 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/18/2013 and was last updated on 3/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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