Provider Demographics
NPI:1902935620
Name:GREATER MANCHESTER GASTROENTEROLOGY
Entity Type:Organization
Organization Name:GREATER MANCHESTER GASTROENTEROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:YUKI
Authorized Official - Middle Name:
Authorized Official - Last Name:IGARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-300-6706
Mailing Address - Street 1:88 MCGREGOR ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-3750
Mailing Address - Country:US
Mailing Address - Phone:603-622-8800
Mailing Address - Fax:603-622-8808
Practice Address - Street 1:88 MCGREGOR ST
Practice Address - Street 2:SUITE 302
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3750
Practice Address - Country:US
Practice Address - Phone:603-622-8800
Practice Address - Fax:603-622-8808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty