Provider Demographics
NPI:1548299183
Name:NASHUA PAIN MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:NASHUA PAIN MANAGEMENT CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:GELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-882-9872
Mailing Address - Street 1:PO BOX 184
Mailing Address - Street 2:
Mailing Address - City:HARRISVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48740-0184
Mailing Address - Country:US
Mailing Address - Phone:603-455-3320
Mailing Address - Fax:603-455-3320
Practice Address - Street 1:154 BROAD ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-3205
Practice Address - Country:US
Practice Address - Phone:603-882-9872
Practice Address - Fax:603-465-7829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH125324400OtherUS DEPARTMENT OF LABOR
NH433740OtherCIGNA
NHG03799OtherHARVARD PILGRIM
NH30212601Medicaid
NHG03799OtherHARVARD PILGRIM
NH125324400OtherUS DEPARTMENT OF LABOR