Provider Demographics
NPI:1528210010
Name:GUIDANCE MEDICAL ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:GUIDANCE MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-527-0052
Mailing Address - Street 1:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:LACONIA
Mailing Address - State:NH
Mailing Address - Zip Code:03247-2239
Mailing Address - Country:US
Mailing Address - Phone:603-527-0052
Mailing Address - Fax:
Practice Address - Street 1:25 COUNTRY CLUB ROAD
Practice Address - Street 2:UNIT 702
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-2812
Practice Address - Country:US
Practice Address - Phone:603-527-0052
Practice Address - Fax:603-369-6365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-16
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7256174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80002319Medicaid
NH80002319Medicaid