Provider Demographics
NPI:1811257223
Name:EXPRESSMED
Entity type:Organization
Organization Name:EXPRESSMED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAJEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:CASC
Authorized Official - Phone:603-622-3670
Mailing Address - Street 1:11 WASHINGTON PL
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6747
Mailing Address - Country:US
Mailing Address - Phone:603-622-3670
Mailing Address - Fax:603-626-9750
Practice Address - Street 1:1 HIGHLANDER WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03103-7403
Practice Address - Country:US
Practice Address - Phone:603-622-3670
Practice Address - Fax:603-626-9750
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEDFORD OCCUPATIONAL AND ACUTE CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-18
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care