Provider Demographics
NPI:1407967383
Name:MEDICAL & RENAL CARE PA
Entity Type:Organization
Organization Name:MEDICAL & RENAL CARE PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:UY
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-880-3122
Mailing Address - Street 1:19 TYLER STREET SUITE 203
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-880-3122
Mailing Address - Fax:603-880-6509
Practice Address - Street 1:19 TYLER STREET SUITE 203
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-880-3122
Practice Address - Fax:603-880-6509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30212821Medicaid
NHRE6647Medicare ID - Type Unspecified