Basic Information
| Provider Information | |||||||||
| NPI: | 1871132019 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AMERICAN ARTHRITIS & RHEUMATOLOGY ASSOCIATES -NH PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2255 GLADES RD STE 228W | ||||||||
| Address2: | |||||||||
| City: | BOCA RATON | ||||||||
| State: | FL | ||||||||
| PostalCode: | 334317391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5616997101 | ||||||||
| FaxNumber: | 5616586142 | ||||||||
| Practice Location | |||||||||
| Address1: | 168 MAPLE STREET | ||||||||
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| City: | HENNIKER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035066275 | ||||||||
| FaxNumber: | 6035066279 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/06/2020 | ||||||||
| LastUpdateDate: | 04/15/2020 | ||||||||
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| AuthorizedOfficialLastName: | DAUGHERTY | ||||||||
| AuthorizedOfficialFirstName: | TODD | ||||||||
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| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 5616997101 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 04/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
No ID Information.