Provider Demographics
NPI:1598809550
Name:NEW ENGLAND INTERNAL MEDICINE, PC
Entity Type:Organization
Organization Name:NEW ENGLAND INTERNAL MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-444-2002
Mailing Address - Street 1:580 SAINT JOHNSBURY RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-3437
Mailing Address - Country:US
Mailing Address - Phone:603-444-2002
Mailing Address - Fax:603-444-2226
Practice Address - Street 1:580 SAINT JOHNSBURY RD
Practice Address - Street 2:SUITE F
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-3437
Practice Address - Country:US
Practice Address - Phone:603-444-2002
Practice Address - Fax:603-444-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7427Medicare ID - Type UnspecifiedMEDICARE GROUP ID NUMER