Provider Demographics
NPI:1073630752
Name:NEPHROLOGY ASSOCIATES, P. A.
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-621-2948
Mailing Address - Street 1:1750 ELM ST
Mailing Address - Street 2:SUITE 201C
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2903
Mailing Address - Country:US
Mailing Address - Phone:603-641-5800
Mailing Address - Fax:603-621-4126
Practice Address - Street 1:1750 ELM ST
Practice Address - Street 2:SUITE 201C
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-2903
Practice Address - Country:US
Practice Address - Phone:603-641-5800
Practice Address - Fax:603-621-4126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH81393872Medicaid
NHRR441391114OtherMEDICARE TRAVELERS
NH133OtherCIGNA GROUP
NH50Y387200NH01OtherANTHEM GROUP
NH81393872Medicaid