Reverfront Medical Group, PC
NPI #1386860716 in Tilton, New Hampshire
Provider Information
- NPI Number
- 1386860716
- Entity Type
- Organization
- Organization Name
- Reverfront Medical Group, PC
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 322 W MAIN ST
- Address 2
- SUITE 133
- City
- Tilton
- State
- New Hampshire
- ZIP Code
- 03276-5017
- Phone
- (603) 286-3800
Authorized Official
- Name
- SUSAN MARIE HARE, M.D.
- Title
- OWNER
- Phone
- (603) 286-3800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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