Provider Demographics
NPI:1194558213
Name:CORE PHYSICIANS, LLC
Entity type:Organization
Organization Name:CORE PHYSICIANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:SW
Authorized Official - Last Name:CASSETTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-580-7078
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2937
Mailing Address - Country:US
Mailing Address - Phone:603-580-6753
Mailing Address - Fax:603-580-6840
Practice Address - Street 1:14A TSIENNETO ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038
Practice Address - Country:US
Practice Address - Phone:603-404-6800
Practice Address - Fax:603-686-7244
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CORE PHYSICIANS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty