| Organization Name: | THE DOCTOR'S OFFICE AT SALMON STREET PC |
| NPI Number: | 1659481950 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JULIE SWIADAS (PRACTICE MANAGER) |
| Mailing Address: | 765 S Main St Suite 103 Manchester |
| State: | NH US |
| Postal Code: | 031025141 |
| Phone Number: | 6036251724 |
| Fax Number: | 6036251230 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 06/09/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |