Provider Demographics
NPI:1437616869
Name:STRINGBRIDGE THERAPEUTICS, LLC
Entity Type:Organization
Organization Name:STRINGBRIDGE THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-531-4124
Mailing Address - Street 1:PO BOX 83
Mailing Address - Street 2:
Mailing Address - City:RYE BEACH
Mailing Address - State:NH
Mailing Address - Zip Code:03871-0083
Mailing Address - Country:US
Mailing Address - Phone:603-531-4124
Mailing Address - Fax:
Practice Address - Street 1:700 LAFAYETTE RD
Practice Address - Street 2:
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-6202
Practice Address - Country:US
Practice Address - Phone:603-474-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty