Londonderry Gastroenterology Associates PA
NPI #1851318281 in Londonderry, New Hampshire
Provider Information
- NPI Number
- 1851318281
- Entity Type
- Organization
- Organization Name
- Londonderry Gastroenterology Associates PA
- Primary Specialty
- Specialist
- Enumeration Date
- Jul 15, 2006
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 1B COMMONS DR
- Address 2
- UNIT 9A
- City
- Londonderry
- State
- New Hampshire
- ZIP Code
- 03053-3441
- Phone
- (603) 818-4712
Authorized Official
- Name
- DR. MARK KENNETH DETWEILER, M.D.
- Title
- PHYSICIAN
- Phone
- (603) 818-4712
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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