NPI 1114524824

Faodail Pain Management, PLLC

Organisation Pain Medicine Physician Grantham, NH

Practice location

Address: 151 Route 10 N Unit 2, Grantham, NH 03753-3621
Phone: (603) 309-3902
Fax: (603) 843-8176
Mailing address: 252 Mechanic St, Lebanon, NH 03766-2613

Authorised official

Name: Melynda Wallace
Title: Owner
Phone: (603) 309-3902

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in New Hampshire →

Registry record

NPI: 1114524824
Entity type: Organization
NPI issued: 6 Oct 2020
Record last updated: 25 Jul 2023

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.