Organization · Type 2 NPI

Premise Health of Connecticut Medical, P.c.

Occupational Medicine Clinic/Center · Merrimack, NH

NPI number 1861085128 Active

Practice location

130 Daniel Webster Highway
Merrimack, NH 03054

Call (603) 885-4436 Map

Fax (603) 885-3248

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

Taxonomy	Code	License
Occupational Medicine Clinic/Center Primary	261QX0100X	None listed

Occupational Medicine Clinic/Center: Definition to come...

NPI record

NPI: 1861085128
Entity type: Organization (Type 2)
Issued: Feb 18, 2021
Last updated: Aug 15, 2022
Status: Active

Other names

<unavail>
Bae Systems Merrimack NH · doing business as
Bae Systems Merrimack NH · doing business as

Authorized official

Dr. Jon Leizman, MD
President
(216) 479-9063

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861085128

Premise Health of Connecticut Medical, P.c.'s National Provider Identifier is 1861085128, issued on Feb 18, 2021. The primary taxonomy on file is Occupational Medicine Clinic/Center (261QX0100X), and the practice location is in Merrimack, NH. The record was last updated on Aug 15, 2022.