Aesthetic Medicine of NH

Organization Active NPI Family Medicine Physician · Concord, NH

NPI 1710133087 · NPPES record last updated Aug 18, 2008

Key facts

NPI
1710133087
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
6630 (NH)
Legal business name
AESTHETIC MEDICINE OF NH
Practice address
194 Pleasant St
Suite 12
Concord, NH 03301-2952
Phone
(603) 224-0808
Fax
(603) 224-0853
NPI assigned
Aug 18, 2008
Organization subpart
No

Authorized official

Name
Mr. Nicholas Paul Van Loan, M.D.
Title
Business Owner
Phone
(603) 224-0808

National Provider Directory

Locations

194 Pleasant St
Ste 12
Concord, NH 03301
Phone (603) 224-0808

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
207Q00000X 6630 NH Yes

Addresses

Primary practice location

194 Pleasant St
Suite 12
Concord, NH 03301-2952

Mailing address

194 Pleasant St
Suite 12
Concord, NH 03301-2952
Phone (603) 224-0808

Other providers in Concord, NH

All providers in Concord, NH · Family Medicine Physician in New Hampshire

Sources for this page

Verify at the official NPI Registry.