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Contact Information

PMC MEDICAL GROUP, LLC
100 GRIFFIN RD UNIT B
PORTSMOUTH, NH03801-7158
 Phone: 603-692-3199
 Fax: 833-944-2258
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

2083A0300X 84 Physician/Preventive Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for PMC MEDICAL GROUP, LLC

NPI # 1396121240
LBN Legal business name PMC MEDICAL GROUP, LLC
Authorized official MATTHEW HOGAN - (PRESIDENT)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/03/2015
Last updated 03/19/2025 - More than a year ago
Identifiers
NH Medicaid 3103270
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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