NPI 1003423724

Granite State Geriatrics PLLC

Organisation Adult Mental Health Clinic/Center Laconia, NH

Practice location

Address: 635 Main St STE 303, Laconia, NH 03246-3415
Phone: (603) 409-0735
Fax: (877) 919-0640
Mailing address: 32 Harvest Run, Gilford, NH 03249-6567

Authorised official

Name: Raymond Edwin Suarez
Title: Member
Phone: (603) 409-0735

Registered specialties

Adult Mental Health Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Other Clinic/Center providers in New Hampshire →

Registry record

NPI: 1003423724
Entity type: Organization
NPI issued: 27 Sep 2020
Record last updated: 27 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.