Provider Demographics
NPI:1073693156
Name:CONCORD WOMENS CARE PC
Entity Type:Organization
Organization Name:CONCORD WOMENS CARE PC
Other - Org Name:WALSH & CHAUDHARI PBGYN PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAUDHARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-228-8383
Mailing Address - Street 1:248 PLEASANT ST
Mailing Address - Street 2:PILLSBURY BLDG SUITE 103
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2588
Mailing Address - Country:US
Mailing Address - Phone:603-228-8383
Mailing Address - Fax:603-228-7005
Practice Address - Street 1:248 PLEASANT ST
Practice Address - Street 2:PILLSBURY BLDG SUITE 103
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-2588
Practice Address - Country:US
Practice Address - Phone:603-228-8383
Practice Address - Fax:603-228-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6202207V00000X
NH11302207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008620Medicaid
NH30008620Medicaid