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PREMISE HEALTH OF CONNECTICUT MEDICAL P.C. NPI 1518558964


NPI Information

NPI: 1518558964
Provider Name: PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.

Doing Business As: BAE SYSTEMS ROAD NASHUA NH

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

CLIA Number: 30D0965641

Address:
65 SPIT BROOK RD
NASHUA, NH
ZIP 03060
Phone: (603) 885-1105
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PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. is an occupational medicine clinic center in Nashua, NH. PREMISE HEALTH OF CONNECTICUT MEDICAL, P.C. NPI is 1518558964. The provider is registered as an organization entity type.
The provider Is Doing Business As Bae Systems Road Nashua Nh.

The provider's business location address is:

65 SPIT BROOK RD
NASHUA, NH
ZIP 03060-909
Phone: (603) 885-1105
Fax: (603) 885-2913

The provider's authorized official is Jon Leizman .
The authorized official title is President and has the following contact phone number (216) 479-9063.

The CLIA number assigned to this NPI record is 30D0965641 - industrial with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2021 and was last updated on 8/15/2022.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0100XClinic/CenterOccupational MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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