Provider Demographics
NPI:1770939068
Name:NE HAND - CONCORD LLC
Entity type:Organization
Organization Name:NE HAND - CONCORD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:JURIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-872-7881
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-0580
Mailing Address - Country:US
Mailing Address - Phone:603-673-9411
Mailing Address - Fax:866-388-2185
Practice Address - Street 1:313 SPEEN ST STE 203
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-1538
Practice Address - Country:US
Practice Address - Phone:508-872-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-05
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty