Provider Demographics
NPI:1992048151
Name:ADES GASTROENTEROLOGY LLC
Entity type:Organization
Organization Name:ADES GASTROENTEROLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-580-2876
Mailing Address - Street 1:4 WEST RD
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2602
Mailing Address - Country:US
Mailing Address - Phone:603-580-2876
Mailing Address - Fax:603-580-5912
Practice Address - Street 1:4 WEST RD
Practice Address - Street 2:SUITE 3B
Practice Address - City:STRATHAM
Practice Address - State:NH
Practice Address - Zip Code:03885-2602
Practice Address - Country:US
Practice Address - Phone:603-580-2876
Practice Address - Fax:603-580-5912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-05
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7938174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHA93101Medicare UPIN