Provider Demographics
NPI:1497136915
Name:AH GL BARRINGTON PAIN MANAGEMENT, LLC
Entity Type:Organization
Organization Name:AH GL BARRINGTON PAIN MANAGEMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MD
Authorized Official - Prefix:
Authorized Official - First Name:ASTEGHIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HACOBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-664-0100
Mailing Address - Street 1:944 CALEF HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-7244
Mailing Address - Country:US
Mailing Address - Phone:603-664-0100
Mailing Address - Fax:603-664-0101
Practice Address - Street 1:31 MAIN ST
Practice Address - Street 2:
Practice Address - City:PLAISTOW
Practice Address - State:NH
Practice Address - Zip Code:03865-3002
Practice Address - Country:US
Practice Address - Phone:603-664-0100
Practice Address - Fax:603-664-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty