Provider Demographics
NPI:1124668546
Name:IORA HEALTH NEW HAMPSHIRE, P.C.
Entity type:Organization
Organization Name:IORA HEALTH NEW HAMPSHIRE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. VP NE MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-454-4672
Mailing Address - Street 1:101 TREMONT ST FL 6
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-5004
Mailing Address - Country:US
Mailing Address - Phone:617-580-0496
Mailing Address - Fax:
Practice Address - Street 1:7 ALLEN ST STE 100
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-2065
Practice Address - Country:US
Practice Address - Phone:603-738-1164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-14
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty