Provider Demographics
NPI:1285889378
Name:PARADIGM CLINICAL ASSOCIATES LLC
Entity type:Organization
Organization Name:PARADIGM CLINICAL ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MENKE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-772-2076
Mailing Address - Street 1:4 WEST RD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885
Mailing Address - Country:US
Mailing Address - Phone:603-772-2076
Mailing Address - Fax:603-772-2092
Practice Address - Street 1:4 WEST RD
Practice Address - Street 2:SUITE B-1
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885
Practice Address - Country:US
Practice Address - Phone:603-772-2076
Practice Address - Fax:603-772-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH03504NHOtherSTATE LICENSE