Provider Demographics
NPI:1356879548
Name:NEW ENGLAND MEDICINE AND COUNSELING ASSOCIATES, PLLC
Entity type:Organization
Organization Name:NEW ENGLAND MEDICINE AND COUNSELING ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:FECTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-903-2900
Mailing Address - Street 1:PO BOX 797
Mailing Address - Street 2:
Mailing Address - City:GRANTHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03753-0797
Mailing Address - Country:US
Mailing Address - Phone:603-903-2900
Mailing Address - Fax:603-676-4614
Practice Address - Street 1:120 ROUTE 10 N
Practice Address - Street 2:
Practice Address - City:GRANTHAM
Practice Address - State:NH
Practice Address - Zip Code:03753-3619
Practice Address - Country:US
Practice Address - Phone:603-903-2900
Practice Address - Fax:603-676-4614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH743884207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty