| Organization Name: | CAPITAL REGION PHYSICIAN GROUP |
| NPI Number: | 1992870646 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRUCE BURNS (SENIOR VICE PRESIDENT, CFO) |
| Mailing Address: | 246 Pleasant St Memorial Building Suite 205 Concord |
| State: | NH US |
| Postal Code: | 033012548 |
| Phone Number: | 6032260528 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 07/08/2009 |
| 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: | |