Colonial Clinical Services LLC

NPI #1336711647 in New London, New Hampshire

Provider Information

NPI Number: 1336711647
Entity Type: Organization
Organization Name: Colonial Clinical Services LLC
Primary Specialty: Family Medicine
Enumeration Date: Jul 15, 2021
Last Updated: Jul 15, 2021

Practice Location

Address: 82 NEWPORT RD
City: New London
State: New Hampshire
ZIP Code: 03257-5414
Phone: (603) 526-2233

Authorized Official

Name: GLENN PERREAULT, PHARMD
Title: OWNER/AUTHORIZED OFFICIAL
Phone: (603) 526-2233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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