Provider Demographics
NPI:1841401627
Name:SOUTHERN NEW HAMPSHIRE OBGYN
Entity Type:Organization
Organization Name:SOUTHERN NEW HAMPSHIRE OBGYN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D. , PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARRETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-624-8491
Mailing Address - Street 1:50 S MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-4405
Mailing Address - Country:US
Mailing Address - Phone:603-624-8491
Mailing Address - Fax:603-625-1622
Practice Address - Street 1:50 S MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-4405
Practice Address - Country:US
Practice Address - Phone:603-624-8491
Practice Address - Fax:603-625-1622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5701174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty