Provider Demographics
NPI:1346462892
Name:PARKLAND PHYSICIAN SERVICES INC
Entity Type:Organization
Organization Name:PARKLAND PHYSICIAN SERVICES INC
Other - Org Name:WOMEN'S HEALTH ASSOCIATES OF DERRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:KEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-661-3365
Mailing Address - Street 1:6 TSIENNETO RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-421-2526
Mailing Address - Fax:603-421-2568
Practice Address - Street 1:6 TSIENNETO RD
Practice Address - Street 2:SUITE 204
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-421-2526
Practice Address - Fax:603-421-2568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty